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Spouse's starting date

Spouse's ending date

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Please enter a number from 1895 to 2030.

Spouse's last name at graduation(Required)

Personal Information

Spouse's birth date

Spouse's preference of title

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Spouse's type of phone

Spouse's email

Spouse's home address

Street address Address line 2 City State / Province / Region ZIP/Postal code Country

Additional Information

Spouse's employer

Spouse's Position

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Student's name

First Last

Interested in Volunteering?

Joining, leading, or launching a Regional Chapter based on geographic location

Serving as a lecturer, speaker or panelist for a class, student/event program or alumni event/workshop either virtually or in-person

Mentoring

Hosting a Shocker Alumni event in my home, city or at my place of business

Assisting with University fundraising initiatives, such as Giving Day

Planning events

Assisting with events on day-of

Community service

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Regional chapter location(Required)

Interest in serving as a lecturer, speaker, or panelist(Required)

Hosting a shocker alumni event(Required)

Additional/Other volunteer opportunities(Required)

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