Thank you for taking the time to fill our our membership survey. Your responses will help us keep in touch, plan great events, and provide valuable services to our MSU alumni and friends!

Personal Information Business Information
First Name:
M.I.
Last Name:
Address (Line 1):
Address (Line 2):
City:
State:
Zip:
Home Phone:
Cell Phone:
Business Name:
Job Title:
Industry:
Business Address
(Line 1):
Business Address
(Line 2):
City:
State:
Zip:
Business Phone:
Fax:

Home E-mail: This is my preferred e-mail

Work E-mail: This is my preferred e-mail

Sign up my preferred e-mail for updates from the South Florida MSU Alumni Club

I would be interested in:
(check all that apply)
Cultural/Arts events (museum tours, culinary events)
Sports Group Packages (Dolphins, Panthers, etc.)
Sports participation (golf scrambles, amateur leagues)
Social Events
Networking events (career, business)
Educational events (seminars, professional enrichment)
Volunteering/Community Service
Family-oriented events
Travel-packages

I would be interested in meeting deans, administrators, and coaches from MSU

I would prefer the following times for events:
(check all that apply)
Weeknights
Weekend Days
Weekend Evenings

I would like more information on how I can promote my business interests to other alumni and friends

I know of a great venue that the South Florida MSU Alumni Club could use for an event (please indicate if you own, manage or are employed at this venue, or if you'd be willing to host events at your home).

I would like more information on how to give to the South Florida MSU Alumni Club Scholarship Fund.

I would like to be more involved with the South Florida MSU Alumni Club.

What is your affiliation with MSU?
(check all that apply)
I'm an alumnus/a*
I'm the parent of an MSU student or alumni
I'm a donor/friend of MSU
I just love MSU

Are you a member of the MSU Alumni Association?
(please do not count complimentary new graduate memberships)
Yes, I am a Life Member
Yes, I have an annual membership
No, but I once had an annual membership
No, I've never been a member

Please make any comments or suggestions you have below:
*Please list any MSU degrees here