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COMPUTER SCIENCE AND ENGINEERING ALUMNI SURVEY

Please note, the UB CSE Department does not distribute information outside of the University.

Section 1- POSTING

Please complete the following form. The 'asterisked'(*) fields will appear on the Computer Science and Engineering(CSE) alumni web page pending your approval.
May we post the fields asterisked(*) on the C.S.E. alumni website? Yes No

Would you like to post you email address on our website ?
(this will be available only to registered alumni )		 Yes No

Email C.S.E information to my: Home Business

Snail Mail CSE information to my: Home Business
 

Section 2- INFORMATION

PERSONAL INFORMATION
First Name*
Middle Name
Last Name*
Date of Birth (MMDD)
Maiden Name
Home Address
City
State/Province
Zip/Postal Code
Phone(xxx-xxx-xxxx)
E-mail*
Personal URL
BUSINESS INFORMATION
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

 

Education:

University at Buffalo
Degree Graduation Year
 BA
 BS
 MS
PhD

Section 3 - Alumni Association

We are interested in forming a Computer Science and Engineering Alumni Association. Please help us by completing the following

Are you interested in an Alumni Association? Yes
No 		  Why? To keep apprised of CSE activities
Networking
Other
         
Where should alumni events take place?: Western New York
Other 		  What types of events: Holiday party
Networking reception
Class Reunion
Golf Outing
Other


If we offered seminars/conferences, what topics interest you?

How frequently would you like events? Quarterly   Semi-Annually   Other


I would be interested in serving as: Alumni Board Member
Alumni Committee Member
Member of Alumni Chapter in my area


I would attend an annual one to two day Alumni Conference at the University at Buffalo Yes No

Section 4- OTHER

Do you have any other comments, observations or recommendations for the CSE alumni association?

Contact us: email | 201 Bell Hall • Buffalo, New York 14260-2000 | (716) 645-3180

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