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Office of Alumni Relations The University of Scranton
Scranton, PA 18510-4624
1-800-SCRANTON or
570-941-7660

alumni@scranton.edu
Volunteer Intake Form

1. Tell us about yourself…
First Name
Maiden Name:
Last Name
Preferred Class Year:
Primary E-mail
Primary Phone Number:
Address 1:
Address 2:
Address 3:
City:
State:
Zip:
2. Tell us about what you do…
Title:
Business Name:
Business Address 1:
Business Address 2:
Business City:
Business State:
Business Zip: