KSR Alumni Profile Form

We are always interested in keeping in touch with our graduates. Please take this opportunity to share with us your current contact information and the successes you have achieved since graduating from Eastern Illinois University's KSR Department (formerly KSS).

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ABOUT YOU
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Sex

Sex Male Female Non-Specific
Current Employer
Employer Location
Current Position
Please use this area to tell us a little more about yourself and what you have been doing since you graduated from EIU. (personal/professional accomplishments, family, etc.)
I would like to share feedback about my experiences at EIU that could be posted on the KSR Department website or in other recruiting materials. (Please tell us how your degree from EIU has contributed to your success.)
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ABOUT YOUR UNDERGRADUATE DEGREE AT EIU
Major

Major K-12 Teacher Certification Exercise Science Sport Management Recreation Administration Therapeutic Recreation Other
Semester & Year of Graduation (Undergraduate Degree)
Minor

Minor Kinesiology, Sport, and Recreation Other
ABOUT YOUR GRADUATE DEGREE AT EIU (if applicable)
Exercise Physiology Sports Administration Other
Semester & Year of Graduation (Graduate Degree)

* If applicable
Degrees or Certifications you have obtained since you completed your degree(s) at EIU
Degrees/Certification & Institution:

KSR Alumni Profile Form

KSR Alumni Profile Form

ABOUT YOU

ABOUT YOUR UNDERGRADUATE DEGREE AT EIU

ABOUT YOUR GRADUATE DEGREE AT EIU (if applicable)

Degrees or Certifications you have obtained since you completed your degree(s) at EIU