Honors Program Alumni

First Name
Last Name
Maiden Name
Address
City, State, Zip
Work Phone
Home Phone
E-mail
Graduation Year

What are you doing? (You may check more than one by holding down the Ctrl key while selecting.)

In school Working Volunteering Parenting

In School

If you're in school, where and what degree are you seeking?

School
Degree

Working

If you're working, where do you work and what is your occupation?

Workplace
Occupation

Volunteering

If you're volunteering, with what organization?

Organization

Would your workplace or volunteer organzation be interested in mentoring or offering co-op/internship opportunities to current Honors students? Yes      No

If "Yes," please describe.

Parenting

If you're a parent, how many children do you have?

Do you know any potential NKU Honors students you'd like us to be in touch with?

Name
HS Grad Year
Email Address
Relationship to You

Are you in touch with other Honors alumni?

Name		Email
Name		Email
Name		Email

What are your hobbies?

Share your favorite Honors Program memory!

May we share your email address with other Honors alumni?

Yes      No