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MN TRiO Alumni Network

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MN TRiO Alumni Contact Information Form

We at the Minnesota TRiO Association are proud of the accomplishments of all of our program alumni. Please fill out the form below so we know how to stay in touch with you. To stay even more in the loop, check us out on Facebook and Twitter.


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:

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: (*)

Please enter the state your high school was located in.
High School Graduation Date:

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High School TRiO Program Participated In:











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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:

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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:











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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:

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Job Title/Field:

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Are you available for job shadowing for current TRiO participants? (*)



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Are you interested in donating to TRiO? (*)



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Are you interested in tutoring? (*)



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Are you interested in mentoring? (*)



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Are you interested in attending reunion events? (*)



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Are you interested in legislative activities? (*)



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Please enter the letters you see below:
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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.




Additional information