MPIRG Alumni Outreach: Let's Stay Connected!
RequiredRequired Question(s)

Please take a few moments to fill out this survey so that we can stay better connected.  This information will only be used to keep you updated about MPIRG's campaigns and upcoming events. If you are connected to other MPIRG alumni, please forward this survey on to them so that we can also stay connected with them and grow our alumni list.

 
Required 1.

Personal Information


First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

2.

How were you involved with MPIRG? Check all that apply.

MPIRG Campus Chapter Member
MPIRG Staff Member
MPIRG Board Member
Other  
  • Comment:

  • 500 characters left.
3.

On which MPIRG Chapter Campus were you active?

 

50 characters left.
4.

What time period were you involved?  Please indicate the years using the format in the following example: e.g. 1971 - 1973

 

50 characters left.
5.

Can we add you to the MPIRG Alumni Email Network?

Yes
No
6.

Will you attend the MPIRG Alumni Reunion on Thursday, December 3rd, from 7 - 9 p.m.

Yes
No
Unsure
  • Comment:

  • 500 characters left.
7.

Do you have any thoughts, comments, or suggestions about how MPIRG can better work with our alumni?  If so, feel free to leave those below!

 

350 characters left.

Thanks for taking the time to fill this out and keep connected.  REMEMBER: Please forward a link to this survey to any MPIRG alumni with whom you are still connected.  We need your help to grow and expand upon our alumni network!