Name:

Affiliation with BU:
Alumnus/Alumna Parent Student Friend

Preferred School or College (if applicable):
College of Arts & Sciences College of General Studies College of Communication English Language & Orientation College of Engineering College of Fine Arts Graduate School of Arts & Sciences School of Dental Medicine Graduate School of Management School of Law School of Medicine Metropolitan College Sargent College School of Education School of Hospitality Administration School of Public Health School of Management School of Social Work School of Theology University Professors Program Honorary Degree -- FORMER SCHOOLS -- College of Business Administration College of Basic Studies College of General Education College of Liberal Arts Division of General Education General College College of Practical Arts & Letters Program in Artisanry School of Public Communication School of PR & Communication School of Nursing

Class Year (if applicable):

Gender:
... ... Male Female

Age:

Industry you work in (please check all that apply):

Number of years you have lived in Chicago:
... ... none 1 - 2 3 - 5 6 - 10 Over 10

Number of BU events you attended in the past year:
... ... none 1 2 3 4 More than 4

Number of BU Alumni you keep in touch with in Chicago:

Please check the types of social events you would be likely to attend:

Please check the types of professional events you would be likely to attend:

Amount you are willing to pay to attend BU alumni events in Chicago:
... ... I am not willing to pay $5 - 10 $10 - 15 $15 - 20

Please indicate your level of enthusiasm for the Chicago Alumni Club:

Additional comments: