For Alumni

Home / Alumni / Alumni Survey

Alumni Survey

Name:

Eagleton Class:

Current Job Title:

Employer Name:

Business Address
Street:

City:
St: Zip:

Business Phone:
May we list your business phone? (please choose) yes no

Business Fax:

Work E-mail address:

Home E-mail address:

Which e-mail do you prefer we use when we contact you?
Home Work

Occupation Code: (please refer to the code list below, enter appropriate code number)
Occupational Codes:

Federal Government
0101 Executive
0102 Congressional
0103 Judicial
0104 Other (please specify)

State Government
0201 Executive
0202 Legislative
0203 Judicial
0204 Other (please specify)

Regional, County, &
Local Government
0301 Executive
0302 Legislative
0303 Judicial
0304 Other (please specify)

International Affairs
04 (no categories)

Politics and Public Affairs
0501 Interest Groups, Associations, Foundations
0502 Non-Profits
0503 Lobbying and Consulting
0504 Political Campaigns & Political Parties
0505 Opinion Research & Polling
0506 Journalism, Media, Writing, Publishing
0507 Other (please specify)

Private Sector
0601 Law
0701 Banking and Finance
0702 Business
0703 Advertising, Public Relations
0704 Consulting
0705 Other (please specify)

Academic Activities
0801 Teaching
0802 Administration
0803 Research
0804 Law School
0805 Graduate Study
0806 Other (please specify)

Other Activities
0901 Not Employed
0902 Seeking Employment
0903 Retired
0904 Full-time parent
0905 Volunteers
0906 Other (please specify)

Home Address
Street:

City:
St: Zip:

Home Phone:
May we list your home phone? (please choose) yes no

Cell Phone:
May we list your cell phone? (please choose) yes no

In the last five years, I have held the following elective and/or appointive position(s).

Title	Dates

Comments:

Submit this form now

To clear form without submitting