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Usdan Alumni Survey
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* Required
Email
*
Your email
Your Full Name
*
Your answer
Your Full Name - when you attended Usdan (if different from above)
Your answer
Your Home Address
Your answer
Your Birthday
MM
/
DD
/
YYYY
Your Occupation
Your answer
Your Current Employer
Your answer
Do you have Usdan-aged children (K - 12th grade)?
*
Yes
No
If you answered "Yes" above, does your child currently attend Usdan?
Yes
No
Clear selection
Please check the kinds of communications you are interested in receiving from Usdan:
*
Usdan Programming (Camp, Online Courses)
Events
Alumni-Only Opportunities
I would no longer like to receive communications from Usdan
Required
Are you interested in taking on a leadership role in our Alumni engagement initiatives?
*
Yes
No
Maybe. I would like to learn more.
Which of the following would you like to learn more about?
Art Department
Creative Writing Department
Chess Department
Dance Department
Music Department
Nature & Sustainability Department
Theater Department
Friendships
Events
Local Community Partnerships (Wheatley Heights, Wyandanch, etc.)
Please check the departments you participated in at Usdan.
*
Art
Creative Writing
Chess
Dance
Music
Nature (now "Nature & Sustainability")
Theater
Required
What is your most fond Usdan memory?
Your answer
Any additional comments, questions, or ideas:
Your answer
Thank you for completing the survey. We hope to stay connected with you about the things you care about. If you would like to get in touch, please email us at
executivedirector@usdan.org
.
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This form was created inside of Usdan Summer Camp for the Arts.
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