NC-MSEN Pre-College Program (PCP) Alumni Information Card
If you were a participant or have information on a former participant in the NC-MSEN PCP, we are searching for you.  Please provide the following information so we can add you to the list of NC-MSEN PCP Alumni Network.
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Last Name
First Name
Middle Initial
Please don't put a period after the letter.
Suffix
Clear selection
Race
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Gender
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Address
City
State
(e.g. NC)
Zip
(e.g. 27517)
Telephone - Home
(area code) xxx-xxxx
Telephone - Cell
(area code) xxx-xxxx
Telephone - Work
(area code) xxx-xxxx
E-mail - Home
E-mail - Work
Name of Participated NC-MSEN PCP Site
Clear selection
Number of Years in NC-MSEN PCP
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Years in NC-MSEN PCP
e.g., 1986-1990
Grade Level (s)
e.g., 6th - 12th
What is the highest degree or level of education you have completed?
Clear selection
College or University Attended or Attending
Official full name (no abbreviation)
College Graduation Year
College Major
Please provide information if you have a double major or a minor
Graduate School Attended or Attending
Official full name (no abbreviation); please list all if you have attended more than one school
Graduation School Graduation Year
Graduation School Major
Occupation or Job Title
Current Employer
How did NC-MSEN PCP impact your college and/or career decision?
Are you willing to volunteer for any future alumni gatherings?
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Are you willing to get involve in any fundraising efforts for the NC-MSEN Pre-College Program?
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Are you willing to assist with locating former students at your former participating NC-MSEN Pre-College Program site?
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Would you like to help create and/or maintain social media sites (i.e. Facebook or Twitter) designated for your former participating NC-MSEN Pre-College Program site?
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Do you have any event-planning experience?  If so, please explain.
Do you have any fundraising experience?  If so, please explain.
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