Alumni Survey

Title Mr. Mrs. Ms. Miss Dr.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Address Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

What college/university did you attend? REQUIRED California University of PA Washington and Jefferson College Waynesburg University Please fill out this field.

Graduation Year REQUIRED Please fill out this field. Please enter valid data.

Current Profession REQUIRED Please fill out this field. Please enter valid data.

Were you active in Catholic Campus Ministry during your time in college? REQUIRED Please fill out this field. Please enter valid data.

Check any of the following that you would be interested in: Being a mentor to a current student Helping with food or supplies for events Virtual Alumni Retreat

Are there any other ways you would like to get involved? Please enter valid data.

Alumni Survey

Are you an alumni looking to get involved in campus ministry?

Diocesan Pastoral Center

Archives & Records Center