Member Profile

Last Name First Name: MI:

(required) Email Address:

Gender : Male Female

Years at UM

Department Name:
Job Title:
Number of Children:
Names and ages for children
Number of Grandchildren:
Names and ages of Grandchildren:

Spouse/Significant Other:

Name:

Other Interesting Information about Spouse/Significant Other:

Education:

Community College
College
Graduate School
Continuing Education (Photography, Dance, Acting, etc.)
Technical School

Questions

1. What would you like to see in the NewsLetter?

2. Web Sites to share with the list:

3. Would you want to see more photographs? Yes No

4. Are you interested in working on ABPAFS Committes Yes No

5. If yes what committees:
    Mentoring
    Membership
    Marketing
    Finance
    Influencing University Policy
    Awards Program
    History

6. Other Comments