Recr - Alumni Student Recruitment

Alum's Information
Name First Last
Address *
Street address Address line 2 City State/Province/Region Postal/Zip code Country
Email
Home Phone Number - Area Code - Prefix Line Number
Mobile Phone Number - Area Code - Prefix Line Number
Year(s) of Graduation
Degree(s)
What clubs and/or activities were you involved in at IU?
Occupation Field
ASR Program Involvement
Have you been involved with the program before? Yes No
How would you like to get involved? (Select one or more.) Attend college fairs Adopt high schools Host events Attend admissions events Meet with students and parents
Have you read our program policies? Yes No
Background Check
Have you ever been convicted* of a crime other than a minor traffic violation? Yes No
If yes, it is mandatory that you complete this section. List each offense: date, charge, city, state and dispensation.
Would you be willing to get a background check? Yes No
*Convicted means you were declared guilty by a judge or you pleaded guilty in court. A conviction may have even taken place if you did not pay a fine or spend time in jail or in prison. A conviction could have been for either a misdemeanor or a felony. A minor traffic violation is an infraction for which you would be ticketed. Driving while under the influence, driving on a suspended license, reckless driving, leaving the scene of an accident and vehicular homicide are not minor traffic violations. A criminal history investigation is done on each new employee, and employment with the University is conditional, subject to the findings of a criminal history investigation. Answering yes to this question does not automatically disqualify you for employment; however, information obtained from the investigation will be used in the employment review process.
Enter the letters you see in the image *

Recr - Alumni Student Recruitment

Alum's Information

ASR Program Involvement

Background Check