University of Illinois Alumni Club of Greater New York
Contact Information
Name:
Home Phone:
Home Address:
Email Address:
City, State, Zip
Employer:
Occupation or title:
Business Address:
Business Phone:
City, State, Zip
Additional Information
Which address should be used for Club Mail?
Home
Business
University of Illinois campus attended?
Urbana-Champaign
Chicago
Springfield
Are you a member of the Illinois Alumni Association?
Yes
No
Education
Most advanced degree from Illinois: Year:
Degree:
Major:
Additional Degrees from Illinois: Year:
Degree:
Major:
Year:
Degree:
Major:
Degrees from other schools:
School:
Year:
Degree:
Major:
School:
Year:
Degree:
Major:
Get Involved!
I would like information on:
Steering Committee (meets every other month)
Scholarship Committee (active in May and June)
I am willing to be listed as a contact for job
opportunities in my professional field.
(This list will be available to club members only.)
Advertising
Education
Entertainment
Health
Marketing
Real Estate
Technology
Architecture
Engineering
Finance
Law
Publishing
Retail
Other
Our Alumni Club gives scholarships each year to deserving students from the tri-state area who will be attending Illinois. Member donations are a primary source of funding for these scholarships. If you would like to donate,
enter the amount in the box to the right. Thanks!
$
Click continue to submit your registration
and proceed to the payments page.
