Thank you for your interest in joining the UW-Waukesha Alumni Association. Please complete the following form to be entered into our records. First Name * Last Name * Name while at UW-Waukesha Email * Would you like your email address listed on our website for others to contact you? * No Yes Only your Name, Years Attended, and Email would be shared online. Alumni activities you would like to help with Assist with campus events Serve on Friends & Alumni Board Other Other activities Phone Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip When did you attend UW-Waukesha? * Include all years Did you receive an Associate Degree? No Yes When did you graduate? Activities while at UW-Waukesha? Athletics, Band/Jazz, Chorus, Student Government, PTK, Newspaper, Radio Station, etc. What information would you like to share with the F&A newsletter? Other institutions attended or will transfer to Name of institution, degree earned, year of degree, & major. Current Employment Where are you at and what are you doing? Spouse's Name Did he/she attend UW-Waukesha? No Yes What years?