FSU World Affairs Program

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Alumni Info Form

WAP Alumni - Please fill in the form below. Items marked with a * are required.

If you have any questions or comments please feel free to list those and we will be in contact with you as soon as possible. This information is used for all alumni newsletters and communications and allows us to maintain active records for contact purposes.

* First Name

* Last Name

* Email Address

Cell Phone Number

Years involved with WAP (ie. 1994-1998)

Please describe your role within WAP: (ie. Member, Assistant Director, Director)

Please list any other campus activities in which you participated

Employer

Job Title

Work Address 1

Work Address 2

Work City

Work State

Work Zipcode

Work Phone

Home Phone

Home Address 1

Home Address 2

Home City

Home State

Home Zipcode

Primary Phone
Cell
Work
Home

Primary Contact Address
Work
Home

Do you plan to attend WAP's end of the year event 2005?
Yes, I plan to attend
No, I do not plan to attend
I have not yet made a decision

* Are you a member of the World Affairs Program Website?
Yes, I am already a member of the website
No, I am not a member of the website. Please show me how to join.
No, I am not a member of the website, and I do not wish to join at this time.

Please list other alumni who might be interested in joining the World Affairs Program Alumni Database. Any contact information you can provide is appreciated.

Are you interested in learning more about the World Affairs Program Endowment Fund? (Hold Ctrl as you select to make multiple selections)

Please share any life updates since your last contact with the program. (ie. New job, marriage, or additional degree)

Calendar

September, 2010

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