Educational Opportunity Program - Advancement on Individual Merit

























EOP/AIM
W3520 Melville Library
Stony Brook University
Stony Brook, NY
11794-3375
631.632.7090

State University of New York at Stony Brook
Site Designed by

Last Modified
May 1, 2006


EOP/AIM Alumni Information
Personal Information
Last Name:
First Name:
Stony Brook ID#:
Maiden Name:
* Email Address:
Verify Email:
* Phone (w/area code):
* Street Address:
Address cont.:
City:
State: Postal/Zip Code:
Country:

Academic Information
Counselor:
Major(s):
Certification(s):
Admissions Category:
Semester of admission:
Year of graduation
Graduate School Program:
Name/Address of School:
Graduate Program:
Are you or will you be employed?
Employer's Name/Address:
Position:

In what capacity would you like to be involved in the EOP/AIM Alumni Committee? (please select one or more)



    Other:
Are you in agreement with an undergraduate student contacting you in regards to career information? (Please circle one)
    If you choose yes, your submission of this form is your permission to be contacted in the following manner:
* We will use the email/phone/address you provided above.