Geneva College

Alumni form for Student-Alumni Connect Program


First Name
Last Name
Maiden Name
E-mail
Address
City
State
Zip Code
Gender Male Female
Graduation Year
Major
Current Occupation
College Housing Campus Resident Commuter
College Sports
College Activities/Clubs
Other (anything else you would like to share)

Briefly describe why you would like to participate in this program.

Preferred method of communication.

Are you willing to be a guest speaker?

Yes No

Are you able to offer internships or externships?

Yes No