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

E-mail:

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

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

I would like to help this alumni club by:

Where would you like our alumni events to be held (eg. suburbs, downtown, etc.)?

Have you received mailings from the Alumni Office about our activities?

Yes
No

Additional comments: