College of Science and Mathematics
"Somebody is always doing what somebody else said couldn't be done."
       - Unknown.
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WSU Alumni Association - WSU Foundation - Outstanding Alumni Award Recipients
Wright State University College of Science and Mathematics Alumni Survey

Please help us better serve you by completing this Alumni Survey. 
We appreciate your help in updating our records. Thank you.

Prefix
 
First Name
 
Last Name
 
Nickname
Last Name While Attending
Suffix
Date of Birth

Undergraduate Major and Degree
Year Received
Graduate Major and Degree 
Year Received

Residence Address, City, State, Zip Code 
Province & Country (if other than U.S.)
Residence Phone (with area code)
Employer
Job Title
Business Address, City, State, Zip Code 
 
Province & Country (if other than U.S.)
Business Phone (with area code)
Fax (with area code)

E-Mail Address


List any other Institutions Attended:
Institution:
Degree:
Date of Attendance:
Institution:
Degree:
Date of Attendance:
Institution:


Degree:


Date of Attendance:
While you were at Wright State in which campus organizations did you participate 
(fraternity and sorority, clubs, varsity athletics, intramural teams, etc.)?


List any awards or scholarships received. (Please name the scholarship(s) if known.)


Have you used the Wright State University’s Career Services Center to assist you in obtaining employment? 
Yes   No
If Yes, was the service instrumental in helping you find a job? 
Yes   No

List any Memberships in Professional Organizations and on Corporate or Foundation Boards


Family Information:
Spouse's Name
Date of Birth
Spouse's Employer


Job Title


Spouse’s Employer Has Matching Gift Program
 Yes  No

Spouse’s College or University

Dates of Attendance/Degrees


List Spouse’s Memberships in Professional Organizations and on Corporate or Foundation Boards


Children - Name(s) & Date of Birth
1. 4.
2. 5.
3.

6.

Please list the name, address, and phone number of  a person who would always know your address:
Name


Phone


City, State, Zip


Are you glad you attended Wright State University?  Yes  No
Why?


In what particular way would you like to see the College of Science and Mathematics grow?


Events

Social Events
Interest Level
Formal-Adult only (dinner/cocktail reception)
Informal (pub night/BBQ)
Cultural (theater/concerts/art gallery)
Fitness (bicycle tours/fitness instructional classes)
Family Activities off campus (Zoo, parks, picnics)
Day trips (wineries, museums/etc.)
Developmental Events On Campus
Interest Level
Off Campus
Interest Level
Breakfast Speakers (WSU faculty/alumni/others)
Lunch Speakers (WSU faculty/alumni/others)
Dinner Speakers (WSU faculty/alumni/others)
One-day professional development seminars
Web-based learning (courses/modules)
Other
Professional Events On Campus
Interest Level
Off Campus
Interest Level
Job fairs
Industry updates
Other
Networking events
Resume workshops
Workplace alumni receptions
Other
Continuing Education On Campus
Interest Level
Off Campus
Interest Level
Financial planning
Retirement Planning
Computer class
Other

How many miles would you be willing to travel for an WSU CoSM Alumni event?
Less than 50  Between 50-100  More than 100

Would you be willing to pay to attend selected CoSM Alumni events?
Yes  No    Maybe

If you would be willing to pay for CoSM Alumni events, what would be a reasonable cost?
$10-$20   $20-$30    $50-$75    More than $75
 

Fundraising

Would you consider financially supporting initiatives for WSU's CoSM ?
Yes  No    Maybe

If you would consider financially supporting the CoSM, which of the following would you consider participating in? (check all that apply)
Scholarships
Endowed professorships
Research
Class gifts (donation goes toward a program chosen by the class)
Alumni Fund (to support alumni activities and student programs)
Formal Alumni Recognition Dinner
Events (golf tournament, art auction, theater, etc.)
Annual Giving
Gifts in Kind (books, art, other property)
Wills and Bequests (planned gifts)
Gifts of Stock (publicly traded securities)
Other

Employer has a Matching Gift Program:
Yes No
Spouse's Employer has a Matching Gift Program:
Yes No

Communications

Please rate the content of the WSU CoSM newsletter (Equation) in terms of interest to you
Very Interesting     Somewhat interesting    Not interesting at all


I would like to receive the Equation newsletter
On-line     Through the mail     Email as attachment


Have you ever shown the Equation to a friend?
Yes   No    Maybe


Your Comments, Please.

We value your comments and want to hear from you. Thank you


   


Finally, can you help us find any of these lost alumni?


Thanks!


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Last updated Tue. Oct-04-05, 11:01
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