Kinesiology Affiliate Program Group: Get Involved and Give Back

Please complete the form below to indicate how you would like to become involved.

Personal Information
Title
First Name
Last Name
Home Address 1
Home Address 2
City
State
ZIP
Home phone
Home email
Professional Information
Job Title
Company Name
Work Address1
Work Address 2
City
State
ZIP
Educational Information
Graduation Year
Degree
Other Degrees
Your Interests
Add Name to List?	Adding your name to the Alumni Resource List will allow other Kinesiology Alumni to locate and contact one another based on similar professional interests and/or geographic location. yes, please add me to your list no
Emphasis (eg. Athletic Training)
Please send mail to:	Home Business

Please contact me about the following	Board Membership Fall student career workshop Student Mentoring Guest speaking Other