JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
pika contact preferences
You can use this form to state a preference for how pika should contact you (physical mail, email, or not at all), as well as update your contact info as needed. If you have any questions, email jack.b.reid+reunion@gmail.com.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Any previous first names that pika might have you listed under
Your answer
Any previous last names that pika might have you listed under
Your answer
Class year (or, if not an MIT student, the last year you were at pika)
*
Your answer
Were you at pika during the school year or the summer?
*
Semester / school year
Summer
Both
Mealplanner nonresident
Required
How do you want to be contact in the future?
*
Email
Physical Mail
Phone
Social Media
Don't contact me
Other:
Required
Updating contact info
The following questions are to update your contact information. Feel free to fill out as many or as few of these as you would like.
Preferred email address (please do not put down your @mit.edu address unless you have reason to believe that you will be able to keep it indefinitely)
Your answer
Current street and street number
Your answer
Current city
Your answer
Current state / province
Your answer
Current country
Your answer
Current zipcode / postal number
Your answer
Current phone number
Your answer
Link to your social media profile
Your answer
Comments / special notes / requests
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
