Alumni Registration Form

JOIN THE MBA ALUMNI ASSOCIATION

The alumni of the Master of Business Administration (MBA) Program have formed the EKU MBA Alumni Association and invite all MBA alumni to participate.

The Alumni Association provides an opportunity for MBA graduates to network and keep in touch with classmates.

The EKU MBA Alumni Association also plays a valuable role in the continued growth of the MBA Program through recruitment activities and professional development opportunities for our present MBA students.

EKU MBA Alumni Association Membership Registration Guide

Required information is marked with an *.

Prefix


First Name*


Middle Name


Maiden Name


Last Name*


Suffix


Nick Name


Address*


City*


State*
ALABAMA ALASKA AMERICAN SAMOA ARKANSAS ARIZONA CALIFORNIA COLORADO CONNECTICUT DISTRICT OF COLUMBIA DELAWARE FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARSHALL ISLANDS MARYLAND MASSACHUSETTS MICHIGAN MICRONESIA MINNESOTA MISSISSIPPI MISSOURI MONTANA NORTH CAROLINA NORTH DAKOTA NEBRASKA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEVADA NEW YORK OHIO OKLAHOMA OREGON PALAU PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING

Zip*


Phone* (###-###-####)


Alternate Phone (###-###-####)


E-mail*



Employment
Company


Title


Address



City


State
ALABAMA ALASKA AMERICAN SAMOA ARKANSAS ARIZONA CALIFORNIA COLORADO CONNECTICUT DISTRICT OF COLUMBIA DELAWARE FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARSHALL ISLANDS MARYLAND MASSACHUSETTS MICHIGAN MICRONESIA MINNESOTA MISSISSIPPI MISSOURI MONTANA NORTH CAROLINA NORTH DAKOTA NEBRASKA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEVADA NEW YORK OHIO OKLAHOMA OREGON PALAU PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING

Zip


Phone (###-###-####)


E-mail


Academic year MBA degree received*



The following questions are voluntary and do not obligate you at this time.
We are building a database of alumni who can assist the EKU MBA Program
as well as the EKUBusiness Program.

Would you be wiling to be a guest speaker at a professional or personal development program?
Yes
No

In what functional area would you be most comfortable speaking?


Would you be willing to serve on an Advisory Board?
Yes
No

Would you be willing to be contacted by an undergraduate or MBA student to discuss career counseling or professional development?
Yes
No

Would you be willing to serve as a recruiter at a recruitment/career fair in your area?
Yes
No

Would you be willing to have your name and work contact information posted online in our EKU MBA website? (Such contact information would be restricted to work contact information only with no personal data associated with it.)
Yes
No

What type of networking opportunities would you be interested in pursuing?
(ex. Meet and greet with potential students, informal alumni luncheons/breakfasts, golf outing, etc.)



Thank you for your cooperation
Tom Martin, President, EKU MBA Alumni Association
c/o EKU MBA Program
BTC 252
Richmond KY 40475
859-622-1775