Please take a few minutes to respond to the questions below. All information is optional.
Current Information
Last Named: First Name: MI:
Nickname(s):
Current Mailing Address/P.O. Box:
City: State: Zip Code:
Telephone Number:
Email Address:
Current Occupation:
Pastimes: Hobbies:
Spouses name:
COLLEGE
Year Graduated Niagara:
Year Commissioned: Branch:
Degree(s)& Major(s):
Corps Position and Cadet Rank Attained:
Student Government:
ROTC Extracurricular:
Clubs:
Athletics:
Other Extracurricular Activities/Honor Societies:
MILITARY
Rank Present/Upon Leaving Service:
Years of Active Service:
Awards / Qualifications :
Years of Reserve / Guard Service:
Combat Action Location/Year :
Overseas Assignment Locations:
May we share your information with other alumni and current members of Niagara University Purple Eagle ROTC? Yes No
Organizational Positions (please check all areas of interest to you
Webmaster Newsletter Team Association Member Association Officer
Alumni Weekend ROTC Event Planning Committee
Veterans History Project (pilot program) Cadet Mentor
Other
Would you be interested in communicating with current Niagara University cadets about your own military career? Yes No
Would you be interested in coming back to Niagara University for a reunion or gathering of Niagara University military servicemen and women? Yes No
Additional information or for further comments:
Thanks for participating in our alumni questionnaire.
Pro Deo Et Patria!