Bruin Business Directory Form
Please fill in all available information below to be added to the Bruin Business Directory.
Sign in to Google to save your progress. Learn more
UCLA Degree Holder's First Name *
UCLA Degree Holder's Last Name *
UCLA Degree Holder's Graduation Year *
UCLA Degree Holder's Role in the Company *
UCLA Degree Holder’s Email (please enter for continued communication on other marketing resources and opportunities UCLA Alumni has available for alumni business owners)
Business Name *
Category (please see the directory for options: https://alumni.ucla.edu/bruin-business-directory/. Please only choose one.) *
Business Street Address (online/home businesses, please only enter city, state, and zip code)
Business City *
Business State *
Business Zip Code *
Business Website *
Business Email *
Business Phone
Business Facebook, Twitter, LinkedIn, and Instagram (if applicable)
Notes
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UCLA Alumni. Report Abuse