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Fields labeled in
green
are required.
Choose your city/region from the list below:
Your Name:
Address:
City, State, Zip:
Home Phone:
Work Phone:
Occupation:
Company/Employer:
Email Address:
Schools/Majors/Years:
What type of events/programs would you be interested in attending (i.e. faculty
speakers from campus, sporting events, cultural events, networking receptions,
etc)?
How many club events would you like to see per year? Of these, how many would
you prefer as intellectual/informational and how many as social?
What city area or suburb would be the most convenient for you to attend a club
event?
Are you currently involved in any Columbia or Ivy League organizations in your
area? If so, which ones?
Have you attended any Columbia sponsored events in the past few years
(locally or elsewhere)? If so, which one(s) and what were your impressions?
Would you be interested in being part of a planning committee to form a Columbia
University Club in your area? If so, what type of role do you envision for
yourself?
Might you be able to host an event at your home, place of business, or
elsewhere? If so, how many people would you be able to accommodate?
Additional comments/suggestions?
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