College of Science and Mathematics

"Somebody is always doing what somebody else said couldn't be done."
- Unknown.


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!

Events

Fundraising

Communications

Your Comments, Please.