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Alumni Contact Information
Contact Information
Name
*
First Name
Last Name
Preferred Name
Email
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Verify Email
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Mailing Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Would you like to be added to the JIRP Alumni email list?
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Yes, I would like to receive emails about JIRP updates and events.
No, please don't send me emails.
JIRP History
What roles have you held on JIRP in the past?
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Please select all that apply.
Student
Staff
Teaching Faculty
Research Faculty
Facilities Crew
Board Member
Other
What year were you a student on JIRP?
What year(s) were you staff on JIRP?
List all years that apply.
What year(s) were you Teaching Faculty or Research Faculty on JIRP?
Please list all that apply.
What year(s) were you part of the Facilities Crew on JIRP?
Please list all that apply.
What year(s) were you a Board Member on JIRP?
Please list all that apply.
If you selected "Other," please explain your role on JIRP and what year(s) you held that role.
Do you have any other information you'd like to share with us?