Survey

Items with an * are required

*Name:
*Email:
Address:
City:
State:	Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Africa Armed Forces Amercas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific
Zip:
*Affiliation with BU:	Alumnus/Alumna Student Parent Friend
Preferred School/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 for the Arts School of Public Communication School of PR & Communication School of Nursing
Class Year (if applicable):
Gender:	Male Female Other
Age:
Industry you work in (please check all that apply):	Finance/Accounting Manufacturing Sales Marketing/Advertising/Public Relations Consulting/General Management Law Medicine Entertainment Hospitality Other
Number of years you have lived in the greater Philadelphia area:
Number of BU events you have attended in the past year:	1-3 4-6 7-10 10+
Number of BU Alumni you keep in touch with in the greater Philadelphia area:
Please check the types of SOCIAL events you would be likely to attend:	Sporting Events Theatre Live Music Festivals Museums and Galleries Restaurant/Bar Social Events Other
Please check the types of PROFESSIONAL events you would be likely to attend:	Industry Specific Happy Hours Speaker Events Industry Round Tables Lunch & Learn Sessions
List three specific events you would like to see planned:
In what location would you like events to be held (i.e., suburbs, downtown)?:
Do you prefer to attend events on:	Weeknights Weekdays Weekends
Would you be willing to host an alumni club event at your home, office or private club?	Yes No
*Amount you are willing to pay to attend BU alumni events in Philadelphia area:	I am not willing to pay $5-$10 $10-$15 $15-$20 $20 or more
Please indicate your level of enthusiasm for the Greater Philadelphia Alumni Club:	Indifferent   1 2 3 4 5 6 7 8 9 10 Very Excited
*Are you interested in serving as a volunteer for the Greater Philadelphia Alumni Club:	Yes No
*Are you interested in a leadership role within the Greater Philadelphia Alumni Board?:	Yes No
Additional comments:

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