WMUC Alumni Information Sheet

PART I:

Full Name:

Nickname/Air name:

Home Address:

Spouse's name:

Children's names and ages:

Job Title/Brief Description of Duties:

Employer:

Work Address:

Home Phone:

Work Phone:

FAX Phone:

Other Phone:

Email Address:

I would like to receive WMUC Alumni information:

[ ] By mail at home

[ ] By mail at work

[ ] By Email

[ ] By FAX (D.C. Metro area only, please)

I prefer to be called about WMUC Alumni activities at

[ ] Home

[ ] Work.

The best time to reach me is ___________

I have ________ hours a month to dedicate to WMUC Alumni activities.

I can use the following office equipment for WMUC Alumni activities (check all that apply):

[ ] Copier [ ] Phone [ ] FAX

[ ] Computer ( [ ] PC [ ] Mac [ ] Other) [ ] Print shop

[ ] Other ____________________________________

I can lend the following skills to WMUC Alumni activities (please note if you have a broadcasting (B/C) specialty):

[ ] Legal ([ ] B/C) [ ] Engineering ([ ] B/C)

[ ] Press Relations ([ ] B/C) [ ] Accounting ([ ] B/C)

[ ] Writing ([ ] B/C) [ ] Photography ([ ] B/C)

[ ] Event Planning ([ ] B/C) [ ] Videography ([ ] B/C)

[ ] Sales ([ ] B/C) [ ] Other _____________________

Do you have access to a free-of-charge room for WMUC Alumni meetings? [ ] Yes [ ] No

If yes, where is it located? __________________

Do you have access to a location for a social or party gathering? [ ] Yes [ ] No

If yes, where is it located? __________________

Anything else we should know about you?

We will include all of the information in Part I, and the information in the "Anything else" question above, in the WMUC Alumni Directory, UNLESS you check the following box:

[ ] Do NOT, under any circumstances, include me in the directory!

We are requesting a donation of $25.00 (or more, if you are able) to help defray the printing, mailing, and other administrative costs of the WMUC Alumni group. If you care to contribute, please make your check payable to WMUC, and enclose it with this form.

Please return your completed form (and check, if you're sending one) to:

WMUC Alumni Association
P.O. Box 6404
Annapolis, MD 21401

or Email it to Andrew@wmuc.org

Return to WMUC home page