Michigan Public Health Alumni Reception | Chicago Registration
Tuesday, October 1, 2019 | 6-7:30 pm
135 W. Madison St., Chicago, IL 60602
Madison Room (2nd Floor)
I plan to attend the event on Tuesday, October 1 in Chicago, IL.
Please include your full last name. If your last name has changed, please write "current name (previous name)." Example: Smith (Olsen)
First name and Last name as you would like them to appear on name tag
Please feel free to include nicknames or abbreviations
Faculty / Staff
Department / Program
Environmental Health Sciences
Health Behavior and Health Education
Health Management and Policy
If applicable - Provide degree(s) from SPH only. Example: M.P.H. '86 , Ph.D. '90
If you are planning to invite a guest, please list their name below
See who is coming; view the registration list here:
Once you have registered, your name and graduation year will be visible in the next two business days. Thank you!
Please Do Not Post My Name in the List of Registrants
Do Not Post My Name
A copy of your responses will be emailed to the address you provided.
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