Alumni Response Form
We really would like to know about you! Will you take a couple of minutes to complete
the questionnaire and click on the button at the bottom to send it back
to us? Alternatively you may pop it in the mail (Chair, Department
of Zoology, Oregon State University, Corvallis, OR 97331-2914 or send it
by FAX (541-737-0501).
value="http://zoology.science.oregonstate.edu/?q=alumthnx">
YOUR NAME: name="Name">
If a different name when at OSU, what was it then?:
BS, MS, PhD, other?:
maxlength="256" name="Degree">YEAR(S):
size="13" maxlength="256" name="Year">
OTHER DEGREES (Degree, yr, institute): size="60" maxlength="256" name="Otherdegrees">
HOME ADDRESS (The most "stable" address for mail):
Street/PO Box: maxlength="256" name="Street">
City, State, Zip: maxlength="256" name="Region">
PHONES: Home: name="Homephone">Work: maxlength="256" name="Workphone">
FAX: name="FAX">E-MAIL: maxlength="256" name="EMail">
EMPLOYMENT/CAREER: What occupies your time? What is your job or position?
Are you a student, unemployed/looking, homemaker, retired, etc.:
WORK ADDRESS: Company: size="39" maxlength="256" name="Company">
Street/PO Box: maxlength="256" name="Workstreet">
City, State, Zip: size="50" maxlength="256" name="Workcity">
- Would you like more information about ways you could help support Zoology's
activities through OSU's various programs for charitable giving? - Please click here if YES: name="Givinginfo" value="yes">
The space below is yours to comment on anything about you recollections,
positive or negative, about your experiences in Zoology at OSU. Write anything
you feel your former OSU Zoology colleagues and professors might like to
know about you since you were here, your fond and not so fond recollections,
or anything you think might be helpful. These responses will be kept on
file to be share with students and faculty alike.