Social Work Alumni Association Contact Form

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Reconnect with SJSU Social Work Alums and with the School of Social Work!

Contact Information

Please provide your contact information. This information will be used only for Alumni Association and School purposes. Please use your business or agency information if you prefer.

Title *

(none)

Ms.

Mrs.

Mr.

Dr.

other

Other:

First Name *

Middle Name

Last Name *

Street Address *

City *

State *

ZIP Code *

E-Mail Address - type "none" if you do not have an e-mail address. *

Preferred Phone Number, including area code - type "none" if you do not have a phone *

Secondary Phone Number, including area code

Interested in helping us?

Interested in helping us with our Social Work Alumni Association? Please indicate whether you are interested in helping with future Social Work Alumni Association activities and in what capacity? *

Yes, I would like to be actively involved

I would like to help out as needed

I would just like to receive updates and meeting notifications

If "yes," please enter in what way or capacity you could assist us:

Serve as an officer

Area Liaison (organizing alumni together in a geographic region)

Recruitment

Fundraising

Scholarship development

Participate on ad-hoc committees

Volunteering at events

Technological support (database management, social media administration, etc.)

Other:

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Degree Information

Did you graudate from our BASW Program at SJSU? *

Yes

If you did graduate from our BASW Program at SJSU, what was the year? *

Did you graduate from our MSW Program at SJSU? *

Yes

If you did graduate from our MSW Program at SJSU, what was the year? *

Additional Information

Licenses and/or Certifications

Areas of Expertise, Practice, and/or Professional Interest

Professional/Personal Update

Anything Else?

Agreement

Agreement to share networking and professional/personal update information *

I understand that by clicking "I agree" I am giving permission to the School of Social Work and the Alumni Association to share my networking information and professional/personal updates publically at the School's and Alumni Association’s discretion (i.e., through newsletters or other publications).

I agree

I do NOT agree

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