University of Washington Alumni Connections

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Office of Minority
Affairs and Diversity

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First Name
Last Name Former Name Email Address Address City State Zip Code Country Phone Number Cultural Affilliation Degree Information Stay connected with the Office of Minority Affairs and Diversity. You can use this form to share your life experiences. The information you share with us will be posted on the Alumni Connections Page, and you may be featured in our next issue of E-news. *

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*Note that personal information other than your name (e.g. your mailing address, phone number, and email) will not be made public.

Undergraduate
Year
Major(s) Graduate

OMA&D Services Used/Affiliation (Select all that apply) Instructional Center (IC) Ethnic Cultural Center/Theater (ECC/T) Educational Opportunity Program Counselors (EOP) OMA&D/UWAA Mentor Program Diversity Scholar Program Reach Out and Reconnect Re-entry Program (ROAR) Summer Transition Program (STP) TRiO Student Services (SSS) Washington State TRiO Expansion Program (WaTEP) Early Identification Program (EIP) Health Science Center Minority Students Program (HSC-MSP) International Study Initiatives Ronald E. McNair Post-baccaulaureate Achievement Program Student Ambassador Other Upward Bound

Professional

Alumni Updates Please let us know what's happening in your world. All alumni are encouraged to tell us about careers, families, awards, travel, or anything you would like to share with the OMA&D and alumni.

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Stay Connected I am willing to: Serve as a guest speaker at career events for OMA&D students Have current students contact me for informational interviews I would like to join the Alum of Color Advisory Council

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