Full Name:
Year of Graduation:
Home Street Address:
City:
State or Province:
Zip Code:
Country:
Home Phone (including Area Code):
Home Email:
Current Volunteer Activities (Organization Name, Your Role):

Education

Undergrad Major(s):
Undergrad Activities:
		Additional Education
Name of School:
City:
State or Province:
Field of Study:
Degree:
Years Attended:
		and / or
Year Graduated:

Current Employment

Organization:
Occupation:
Present Title:
Work Street Address:
City:
State or Province:
Zip Code:
Country:
Work Phone (including Area Code):
Work Fax (including Area Code):
Work Email:

I would prefer to be contacted at: (check all that apply)

	Home		By Telephone
	Work		By Email
	Home and Work		By Postal Mail

Describe your organization's major products or services:

Career Information

I would be interested in speaking to students or alumni on my career or careers in my field:

	On the Telephone
	In Person
	On a Panel or to a Small Group

I would would be willing to have students or alumni visit my workplace for:

	A Semester or Summer Internship
	A One-Day "Shadow" Program
	Volunteer (Non-Profits)

I would be interested in receiving resumes of graduating Macalester seniors for employment consideration or for referral:

	Yes
	No

Thank you for becoming part of the Network!