Alumni Ambassador Program Sign-Up Form

About You

First Name: *

Last Name: *

Your Contact Information

Email Address: *

Can we include this e-mail on our Online Directory?: *

Yes

Street 1:

Street 2:

Street 3:

City:

State/Province/Region:

Zip/Postal Code:

Country:

Phone Number:

The Phone Number provided is :

Home Number

Work Number

Your Work Information

Company:

Title:

Street 1:

Street 2:

Street 3:

City:

State/Province/Region:

Zip/Postal Code:

Country:

Phone Number:

Your UB Information

UB Graduation Year: *

UB Degree Earned: *

UB Major: *

Were you in the honors program?:

Yes

Other UB degrees, (List Degrees, Years and Majors):

Non-UB degrees, (if applicable):

High school attended and location:

Involvement and Interests

Area(s) of involvement (please check all that are of interest): *

Help out at large-scale receptions for prospective students and their families

Help out at information sessions for prospective students and their families

Represent UB at college fairs around the area as my schedule permits

Host small receptions for prospective students and their families at my place of work or at my home

Adopt my former high school to boost UB visibility and recruitment activity

Phone, write or email prospective students

Other volunteer work, interests, hobbies:

How did you find out about the Alumni Ambassador Program?: *

If you speak a language fluently other than English, please indicate that language here:

Your Availability

Weeknights:

Daytime:

Preferred locations: *

UB Alumni Association

Are you a member of the UB Alumni Association?:

Yes

If you answered no, would you like to learn about the benefits of joining?:

Yes

Do you have it?

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Do you have it?

The asterisk says you belong to the UB Alumni Association. Join today and we'll put an asterisk by your name. UB alumni, parents, friends or Bulls fans are invited to join! Learn More >>

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Alumni Ambassador Program Sign-Up Form

Alumni News and Events

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UB President Satish K. Tripathi Congratulates Warde Manuel

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Do you have it?