Alumni/Friends of EV! & KCSL Contact Information
Thanks for updating your information. Please complete the form below and hit submit. All fields in bold are required.
Personal Information
First Name:
M.I.:
Last Name:
Maiden Name:
Graduation Year:
Prior affiliation with Kernodle Center or EV! (service program, trip, leadership position, donor, friend of the center, etc.)
Contact Information
E-mail Address:
Phone Number (XXX-XXX-XXXX):
Address:
City:
State:
AA
AE
Alabama
Alaska
American Somoa
AP
Arizona
Arkansas
California
Colorado
Connecticut
DC
Delaware
Florida
FP
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
PR
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip/Postal Code:
Additional Information
Current Profession:
Current Position:
Professional or family news/updates you want to share
Current volunteer/service/civic involvement
How you would like to get involved in EV! or with EV! students/programs again?
For information, contact the Kernodle Center at
http://www.elon.edu/servicelearning
.
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