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Alumni Connection Form
Fill out the form and stay in touch with UCLA's Department of Bioengineering.
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Last Name
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First Name
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Suffix
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Title
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Year and Degree
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What year did you graduate from the program?
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Home Phone
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Cell Phone
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Current Mailing Address
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Email Address
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Preferred Method of Contact
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Home Phone
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Mail
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Previous Employers / Institutions & Degrees Earned (if applicable)
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Current Employer / Title
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BE Interests
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Which of the following activities interest you?
Networking with fellow alumni
Seminars (as guest)
Seminars (as speaker)
Social events (as guest)
Social events (as member of planning committee)
Internship offers for current students
Mock interview events for current students
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Receive Bioengineering-related Job Announcements
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