JCU 
Alumni and Friends

- Alumni Association
- Ways to Give
- Current Campaigns
- Mentorship Program
- Alumni News and Events
- Alumni Questionnaire
- Contact Us



Alumni Questionnaire
note: fields marked with * are required
Title:*  
First name:*  
Middle name:
Last name:*  
Date of Birth: (dd - mm - yyyy)*  
Gender:*  
Citizenship:*  
First Language:*  
Major:*  
Minor:
Year of Graduation:*  
Visiting:*  
Post-Graduate Degrees:
From:
Year:
Contact Info
Home Email:*  
 
Business Email: 
Home address:*  
City:*  
State/Province:*  
Zip:*  
Country:*  
Business address:
City:
State/Province
Zip:
Country:
Home phone:
Business phone:
Cell phone:
Fax:
Employment
Field:
Company:
Position:
Company website:
How did you find your job?







Alumni Directory
Permission to list in the Alumni Directory:
Communication
Would you like to:
Receive JCU news and updates via mail?
Receive employment opportunities via email from JCU Career Services?*  
Unless otherwise specified, the Alumni Association Coordinators retains the right to share your contact informations with JCU parties; only and limited to JCU Alumni, JCU Professors and JCU Administration. Please make a written request to the Coordinators if you do NOT want other alumni to have access to your contact information.
Involvement
Would you be interested in (please select all that apply):


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