Illinois Alumni Club of Greater Springfield Organizational Survey
Sign in to Google to save your progress. Learn more
Full Name
Maiden/Former Name (if applicable)
Primary Phone Number
Preferred Email Address
Street Address
City
State
Zip Code
Occupation
Employer
Graduation Year(s)
Degree(s)
College
Spouse/Life Partner's Name (if applicable)
Is your spouse/life partner a U of I graduate?
Clear selection
What activities are of most interest to you? (Check all that apply)
Would you be willing to serve on the leadership team or on a planning committee?
Clear selection
What days/times are most convenient for you? (Check all that apply)
Do you know other U of I alumni in the area that we should contact? Please list name(s), phone number(s) and email(s) below:
Other comments/suggestions:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy