Alumni Questionaire

Please fill out this form so we can add your name and e-mail address to our alumni directory, help plan events that you may want to attend and keep you updated with new information regarding the New York Chapter.

Your information will not be made available to commercial mailing lists.

Name:

Male:

Female:

Age:

E-mail Address:

Telephone (with area code):

Degree:

Grad Year:

Advanced Degree:

Grad Year:

Different School / University:

Home Address:

City:

State:

ZIP:

Family size:

Children:

If so, please provide ages:

Occupation:

Position:

Company Name:

Business Address:

City:

State:

ZIP:

Business Telephone (with area code):

Would you like to be listed on the web site Alumni Directory as a "professional" contact, so other Alumni can contact you?

Yes:

No:

Please check the box of your geographic location:

Manhattan:

Brooklyn:

Bronx:

Queens:

Staten Island:

Long Island:

Westchester:

New Jersey:

Connecticut:

Other Location:

What type of events are you interested? (please check the box of all that apply):

Parties / Happy Hour:

Networking Events:

Family Oriented Events:

Attending Sports Events (minor league, professional):

Cultural Events –

Art Receptions/Exhibitions:

Dance:

Museums:

Theater:

Educational Events –

Lectures:

Seminars:

Career Planning Events:

Do you have any suggested events/outings/ideas?

Where would you prefer the events to occur?

Manhattan:

Brooklyn:

Bronx:

Queens:

Staten Island:

Long Island:

Westchester:

New Jersey:

Connecticut:

Other Location:

Are you interested in events that include travel outside New York City, i.e., camping, hiking, music festival?
(Please check applicable box):

Yes:

No:

What are the best seasons (or months of the year) for you to participate in events?

What are the best days of the week that would allow you to attend an event?
(Please check all that apply):

Sunday AM: PM:

Monday PM:

Tuesday PM:

Wednesday PM:

Thursday PM:

Friday PM:

Saturday AM: PM:

Other Time:

Do you have any goals for the UCSD Alumni Association-New York Chapter to suggest?

Web site –

What would you like to see on the UCSD Alumni Association-New York Chapter web site?

Would you like to post upcoming events on the web site?

Yes:

No:

Final Question –

Would you like to join the NYC Chapter Planning Committee?

Yes:

No:

Thank You for filling out this form.