WEST VIRGINIA ASSOCIATION OF EDUCATIONAL OPPORTUNITY PERSONNEL

Alumni Form

Hi, TRiO Alumni! We would like to stay connected with you and have established a state TRiO Alumni Association. We would like to know where you are and what you are doing with your lives. Please complete the form below if you would like to be a part of the group. We wish you the best.

First Name *
Last Name *
Maiden Name
Street Address
Address Line 2
City *
State *
Zip Code *
Phone (###) ### - ####
E-Mail Address
Please Check all TRiO Programs you participated in: *	EOC McNair SSS Talent Search Upward Bound UB Math/Science Veterans' UB
Where was the TRiO Program located? (If you participated in more than one TRiO Program, please list the location of each program) *
Are you currently attending school? *	Yes No
If yes, where and what are you studying?
If you are a college graduate, please provide name of school, major, degree received:
Are you currently employed? *	Yes No
If yes , where do you work and what is your occupation and/or job title?
Tell us more about what you're doing! Include highlights or accomplishments since we last heard from you.
I understand that all contact information will remain with TRiO project personnel and will not be sold or provided to any third party. I give permission to share my information with other TRiO staff and alumni. *	Yes No