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Pocahontas Campus
1410 Highway 304 East
Pocahontas, AR 72455

Phone : 870-248-4000

Alumni Interest Survey

In order to offer more services to alumni as well as assist the college, alumni volunteerism is essential. Your volunteer support on any level is greatly appreciated. There have never been more opportunities to become more involved with BRTC. Please fill out the following survey regarding your volunteer interests. Thank you in advance for your support.

*required field

Personal Information:
Name*
I attended in
E-mail*
Home Phone
Work Phone
Employer
Position
Visiting Alumni Program :
I am willing to come back and speak to a class or group of students about my profession.	Yes No
	If yes, topics I would like to present include:
Alumni Mentoring:
I would like to find out more about offering internships at my company.	Yes No
	If yes, the internships are in the following fields:
I am willing to sign up for the mentoring program available to current students through the Placement Office.	Yes No
I would welcome the chance to have a student shadow me at work.	Yes No
	If yes, my occupation is:
I would be willing to offer my expertise as the college sets up advisory boards in various disciplines.	Yes No
	If yes, I would be interested in assisting in the following areas:
Alumni Events and Programs:
I am able to help organize alumni events.	Yes No
	If yes, I would be interested in the following areas:
	I would like to see an event organized in the following areas:
	New event ideas:
I am interested in serving on the BRTC Alumni Association Board of Directors.	Yes No
Alumni Campaign Participation:
I am willing to gather my classmates together and encourage goodwill and financial support of the College.	Yes No
I am willing to call alumni and encourage financial support of the College.	Yes No
I am willing to call on businesses for financial support of the College.	Yes No
Recruiting:
I would like to refer students through the Alumni Referral Program:
	Prospect's Name
	Prospect's Address
	Prospect's Home Phone
	Prospect's High School
	Year they will graduate from high school
	Student's Interests in majors/sports/activities
	Other points of interest
I would like to call prospective students and share my BRTC experiences.	Yes No
I can write letters to prospective students to encourage enrollment.	Yes No
I am able to distribute admissions literature to local churches, schools, and other locations near my home.	Yes No
I would like to serve on the alumni association board of directors.	Yes No
	Date Available: