Alumni Involvement Form
If you are seeking ways to remain involved in BSUDM as a graduating senior or BSU alumni, please fill out this form. There are several ways to remain involved and you may select multiple options. Once you select your options in which you wish to connect with BSUDMA, you will receive an email from BSUDMCommunity@gmail.com with further information. If you have any questions please contact Roni Becherer 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
How were you involved in BSUDM? *
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Please select ways in which you wish to stay involved with BSUDM: *
Required
Are there any other ways you wish to stay connected with BSUDM?
Your answer
Do you have any questions or comments? If so, please provide your name & contact information to provide answers.
Your answer
Thank you for your continued support of BSUDM and Riley Hospital for Children!
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