University of Illinois Alumni Association at Chicago.

UIC Alumni/Admissions Outreach Program

V O L U N T E E R   F O R M

Thank you for your interest in serving as an Alumni Ambassador for UIC. Your calls of welcome are an important part of the UIC recruitment strategy and we are most grateful for your assistance. Sometime during the month of December, the Office of Admissions and Records will be sending you information on a small group of admitted students, along with some supporting materials on important happenings and resources at UIC. If you have questions or would like more information, please contact the Alumni Association at 312/996-8535.

If you prefer to download a printable (PDF) version of this form, please go to: www.uiaa.org/chicago/outreach/outreach_form.pdf, fill out the form and fax it to 312/413-2327 or mail to:

University of Illinois Alumni Association
UIC Student Center East
750 S. Halsted St., Suite 520
Chicago, IL 60607-7014

CURRENT CONTACT INFORMATION

Full Name

College and Major

Date of Graduation

Home Address
City
State
Zip Code
Home Phone

E-mail (necessary in order to process this form)

Employer's Name

Your Title

Work Address
City
State
Zip Code
Work Phone

What is the best way to contact you?     Home Phone     Work Phone    E-mail

Would you be interested in receiving program materials via E-mail?    Yes     No

Comments/Questions

 
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