Athletic Alumni Association Questionnaire

Email Secondary Email

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Full Name (please include maiden name) *

Email address *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone Number *

Do you have a Facebook Page (Y/N) *

Do you have an Instagram Page (Y/N) *

Do you have a Twitter Page (Y/N) *

Years Played (Ex 1990,1991,1993) *

Sport(s) Played *

Coach at the time for your respective sport(s) *

Academic & Athletic Honors

Major *

Employer *

Current Occupation/Position *

Spouse Name

Spouse Employer

Spouse Occupation/Position

Children (Names and Ages)

Feelings on Emmanuel College

Most Memorable Moment at Emmanuel

Why do you want to be involved in the Emmanuel Athletic Alumni Association? *

Are you interested in volunteering? *

Yes No

With your assistance and active membership, what would you like to see the Athletic Alumni Association accomplish in the first year?

* required field