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THE UNIVERSITY OF SCRANTON
ENVIRONMENTAL SCIENCE
ALUMNI SURVEY FORM

The purpose of the survey form is to build a database of information about our environmental science alumni. We anticipate using the information to build a network amongst our alumni and faculty, and to provide contacts for our current students.

Name:

Year of Graduation from Scranton:

Work or Graduate School Information:

Job or School Title:

Address, Including Company or School Name:

Line 1:

Line 2:

City:

State:

Zip:

email:

Phone:

Fax:

Home information:

Address:

Line 1:

Line 2:

City:

State:

Zip:

email:

Phone:

Fax:

Please tell us about your professional life after you left Scranton. Please include topics such as further schooling or training, jobs that you have held and currently hold (including your job description and the company name and location; the specific graduate program that you are enrolled in or have graduated from).

May we supply the information that you have provided above to alumni and to our students?
 Yes No

Thank you for completing the survey. Please direct any questions or comments about the survey to Michael Cann at cannm1@scranton.edu or 570-941-7519