Volunteer Registration Form

Gifts to SIU don't always come in the form of monetary donations...

By volunteering to assist SIU, you are part of a valuable partnership that helps the University in many ways. Such involvement makes a difference, and we hope you will enjoy this type of collaboration with your alma mater.

Primary E-mail Address: *

Confirmation Email Confirm e-mail address

Name: *

First Name Last Name

Phone Number: *

Area Code Phone Number

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Previous/Other Names:

Major/Degree(s) Awarded:

Year(s) Graduated:

Please choose what volunteer area(s) you are interested in: *

Are you interested in assisting Undergraduate Admissions in the Recruit Salukis campaign? Participants are asked to write emails or postcards to prospective students.

Yes No

Tell Us Your SIU Story - Do you have an SIU success story that you would like to share with students and alumni around the world? If so, feel free to share.

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