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MN TRiO Alumni Network
MN TRiO Alumni Contact Information Form
We at the Minnesota TRiO Association are proud of the accomplishments of all of our TRiO alumni. Please fill out the information below so we can keep you updated about TRiO events, legislative and program updates and volunteer/employment opportunities. To stay even more in the loop, check us out on
Facebook
and
Twitter
. You can also network with other TRiO alumni in Minnesota and throughout the United States by joining the National TRiO Alumni Association Network (NTAA) at
www.trioalumni.us
.
Personal Information
Enter Your First Name: (*)
Please enter your first name.
Middle Initial:
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Last Name: (*)
Please enter your last name.
Prior Name(s):
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Street Address: (*)
Please enter your street address.
City: (*)
Please enter the name of your current city.
State:
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Please enter your state of residence.
ZIP Code: (*)
Please enter your zip code.
Country/Region
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Email Address: (*)
Please enter a valid email address.
Phone Number (please note: home, work, or cell):
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High School Program Information
High School Attended: (*)
Please enter the name of your high school.
High School City: (*)
Please enter the city your high school was located in.
High School State: (*)
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Please enter the state your high school was located in.
High School Graduation Date:
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High School TRiO Program Participated In:
EOC
ETS
UB
UBMS
SSS
EOP
VUB
McNair
GEAR UP
Other
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If you chose "Other" or you participated in multiple programs, please list the name(s) of the program(s) here.
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Number of Years Participated in Program(s) in High School:
Please enter the number of years you participated in a TRiO program in high school.
High School TRiO Program Host Institution(s):
Please enter the name of the institution that sponsored your high school TRiO program.
Postsecondary Program Information
College/University Attended:
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College/University State:
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
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College/University City:
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College/University Graduation Date:
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College/University Major:
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College/University Degree(s) Earned:
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College/University TRiO Program Participated In:
EOC
ETS
UB
UBMS
SSS
EOP
VUB
McNair
GEAR UP
Other
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If you chose "Other" or you participated in multiple programs, please list the name(s) of the program(s) here.
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Number of Years Participated in Program(s) in College/at University:
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Graduate School Information
Graduate Institution(s) Attended:
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Graduate Program(s)/Degree(s) Earned
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Employment Information
Current Employer: (*)
Please enter the name of your current employer. If unemployed, please list "unemployed" in this field.
Job City:
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Job State:
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
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Job Title/Field:
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Are you available for job shadowing for current TRiO participants? (*)
Yes
No
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Are you interested in donating to TRiO? (*)
Yes - please visit http://www.mntrio.org/index.php/support-mn-trio
No
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Are you interested in tutoring? (*)
Yes
No
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Are you interested in mentoring? (*)
Yes
No
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Are you interested in attending reunion events? (*)
Yes
No
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Are you interested in legislative activities? (*)
Yes
No
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Please enter the letters you see below:
Refresh
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By clicking "submit," I understand that MN TRiO may share the information above with regional TRiO organizations as well as the Council for opportunity in Education. My information will be used to provide TRiO updates and information as well as inform me of future opportunities for TRiO Alumni.
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