Alumni Workshop

April 4, 2003

Response and Registration Form



NOTE: If you cannot submit your form successfully, please fill it out and print it.
You can then send it to the following address or fax number:

Alumni Workshop Committee
326 Thomas Building
University Park, PA  16802-2111

FAX:  (814) 863-7114



Name:                             Degree:

Advisor(s):                           Year Graduated:

Current Job Title:

Employer:

Address:

Telephone:

Email:

May we put the following information on our web site?

                                    Job         Employer          Display Work Phone Number

                                    Email      Year/Degree      All of the above

Will you be able to attend our Alumni Workshop?      Friday Saturday Friday and Saturday

Would you be interested in giving a technical talk?      Yes    No

15 Minute Talk 30 Minute Talk 45 Minute Talk

If you are interested in giving a talk, please submit an abstract as soon as possible. At a minimum, please provide a title, the subject matter, and some indication of the level of the talk. Please email your abstract to the Alumni Workshop Committee

Would you like space set aside to display Employer/Employment information?    Yes No

Would you be interested in interviewing current students?                                             Yes No

(Check all that apply)                       Internships Full-time MS positions Full-time Ph.D. positions

If you have any questions, please email the Alumni Workshop Committee. We will be selling t-shirts, at cost. Orders must by submitted to the Alumni Workshop Committee by mid-March, 2003. Payment for the shirts can be made at the Workshop. Typically the t-shirts cost around $7.

We look forward to seeing you there!

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