Alumni Colonel Commander Form

I volunteer to help with: *Scholarship certificate presentationStaff a table at a reception or fairWrite personal cards to prospective studentsServe as a hometown mentorOffer job shadowing

Name *

Email Address *

Phone *

Mailing Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Major at EKU

Current Profession

Are you a first-generation college graduate?YesNo

The following is optional:

Birthday

Month

Day

Year

Gender

Ethnicity