Alumni Contact Form
BSUDM is seeking to compile a list of BSU and BSUDM alumni contact information from post-graduates and graduating seniors to keep you informed about future BSUDM events through emails/newsletters, sending you invitations, and maintaining a connection with you long after you have graduated. Please fill out this contact information and select a way you would be interested in staying involved with BSUDM in the future. You may select as many options as possible. Once you select your options in which you wish to connect with BSUDM, you will receive an email from BSUDMCommunity@gmail.com with further information. If you have any questions please contact Abby Clark at BSUDMCommunity@gmail.com. Thank you for supporting BSUDM and Riley Hospital for Children!
What is your name?
Your answer
What is your permanent email address? (Not BSU email)
Your answer
What is your phone number?
Your answer
Who is your employer and occupation?
Your answer
What degree did you obtain from BSU?
Your answer
How were you involved with BSUDM?
Required
Please select which ways you choose to remain connected to BSUDM:
Do you have any other ways you wish to connect with BSUDM?
Your answer
Do you have any questions or comments?
Your answer
Thank you for your time and continued support for BSUDM!
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