Alumni Society Form

WMU/WMUF Scholarship Alumni Society
Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Testimony/Story of how your award helped your journey:*
May we use your testimony for our marketing efforts?*

YesNo
Would you be willing to be interviewed/videoed?*

YesNo
Where are you now? Please share anything you would like about your current life/career.*
For being a part of the club, we would like to provide you with a free gift. Please indicate your t-shirt size below.
T-shirt size*
We would like to stay in contact with you. Would you like to sign up for our newsletter?*

YesNo
Should be Empty:

WMU/WMUF Scholarship Alumni Society