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SIUE Alumni Association

STAT Buddy Program - Freshman/Sophomore Student Participation Survey

Freshman and sophomore-level STAT members are partnered with junior,senior or graduate-level STAT members through the STAT Buddy Program. To participate in the program, fill out and submit this form:

Printable Participation Survey

1. Your Information
Last Name
First Name
Banner ID #
Title Select
Mr. Mrs. Ms. Miss.
Current Grade Level
Expected Graduation Date
Career Interest/Goal
Current Mailing Address
Zip Code
Permanent Mailing Address
Zip Code
Phone Number
Do you authorize the Alumni Association to release your address and phone number to your buddy so that he or she can contact you?
Yes No
Would you prefer a female or male buddy, or do you have a preference?
Female Male No Preference
Where did you attend high school?
Do you participate in any clubs, activities or sports at SIUE? If so, which ones?
What do you wish you accomplish by participating in the STAT Buddy Program?
What are you looking for in a buddy?
Do you have any special interests that you would like to share with your buddy?
Would you like to provide any other information that would assist us in making a good match?

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