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Alumni Contact Information - Submission Form

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Personal Information
First Name: *
Middle Name:
Last Name: *
Address Line 1: *
Address Line 2:
City: *
State: *
Zip/Postal Code: *
Country: *
Phone Number:
E-Mail: *
Website URL:
Entry Year:
Degree Year: *
Degree Obtained: *
Personal Statement (100-150 words):
Professional Affiliation
Job Category:
Specializations:
City Planning and Management
Economic Development
Environment/Natural Resources/Energy
Federal Planning
Gays and Lesbians in Planning
Historic Preservation
Housing and Community Development
Information Technology
Intergovernmental Affairs
International
New Urbanism
Planning and Law
Planning and Women
Planning and the Black Community
Private Practice
Resort and Tourism
Small Towns and Rural Planning
Transportation Planning
Urban Design
Job Title:
Department:
Firm/Agency:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Country:
Phone:
E-Mail:
Website URL:
Supporting CRP's Academic Program
Interviews: I am willing to grant an informational interview for students interested in my specialization.
Internships: I am able, through my organization, to offer paid summer internship for a graduate or undergraduate student and would welcome contact about this.

Guest Lecture:
I am willing to give a guest lecture to current students in the department.
I can travel to Ithaca.
I can participate via teleconference.
Lecture Title:

Course: I am willing to offer a 1, 2, or 3 credit class for current students.
Course Title:

Course Resources: I am willing to provide a digital or hardcopy of the following planning resources to your library:
Title:
Author:
Pages:

Professional Accomplishments:

CRP would like to compile a dossier of the accomplishments of its graduates. Please list significant accomplishments of your professional career such as honors, professional reports, and conference presentations.

Favorite Planning Book
Title:
Author:
Website URL: