Alumni Colonel Commander Form

I volunteer to help with: :

Scholarship certificate presentation

Staff a table at a reception or fair

Write personal cards to prospective students

Serve as a hometown mentor

Offer job shadowing

Please be sure to include your e-mail address and current phone number before submitting the form.

First Name: *

Last Name: *

Mailing Address:

City:

State:

Zip Code:

Preferred Email Address: *

Phone: *

Major at EKU:

Current Profession:

Are you a first-generation college graduate?:

Yes

The following information is optional:

Birthdate:

Gender:

Male

Female

Ethnicity: – None –

Caucasian

African American

Asian or Pacific Islander

Hispanic

Native American or Alaskan

Other

Leave this field blank:

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated
spam submissions.

Math question: *
20 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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