Status Request* Choose One Current Volunteer with Updates/Changes New Volunteer with Admissions Work Inquiry
Class Year
Title Select a Title Dr. Mr. Ms. Mrs.
First Name*
Last Name*
Address 1*
Address 2
City*
State* Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming Africa (Armed Services) Canada (Armed Services) Europe (Armed Services) Middle East (Armed Services) Pacific (Armed Services) Americas (Armed Services) ALBERTA BRIT. COLUMBIA MANITOBA NW. BRUNSWICK NEWFOUNDLAND NOVA SCOTIA NW. TERRITORIES ONTARIO PR. EDWARD ISL. QUEBEC SASKATCHEWAN YUKON
Zip/Postal Code*
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Home Phone
Home Email*
Work Phone
Work Email*
Job/Occupation Title
Preferred Email Choose one Home Work
Preferred Mailing Address Choose one Home Work
Preferred UPS Shipping Address Choose one Home Work
Can we contact you at your home number Choose one Yes No
Can we contact you at your work number Choose one Yes No
Number of Interviews willing to conduct Number of Interviews None 1 2 3 4 5 6 More than 6
We are investigating the possibility of inviting Southern California alumni to interview students on the Pomona campus.
If you live in Southern California, would you be interested in conducting interviews on campus during select Saturdays in the fall Choose One Yes No
Are you willing to call and congratulate admitted students Choose One Yes No
Are you willing to attend college fair programs Choose One Yes No
Are you willing to be contacted by prospective students Choose One Yes No
Distance willing to travel to college fair programs in miles
I am willing to consider Choose one Hosting a reception Helping with receptions
Notes on availability (example - months/dates not available, possibility of a move this year, etc.)
Ethnic Background Choose One Asian Black Chicano Hispanic Native American Decline to State White, Caucasian Other or Undefined
Are you employed in the field of education Choose One Yes No
If you answered "yes" above Choose one Teacher Administrator Guidance Counselor Other
High schools in your area with which you are familiar
Other activities or interests
If you know other Pomona alumni who would like to volunteer with the Office of Admissions, please provide their names and the city and state in which they live
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