Personal Information
* Required
Source:
How did you learn about us?
Affiliate Newsletter
AJIN - USA
ALUMNI
AMAZON
Auburn Welcome Magazine
Campus Cash Coupon Book
Cary Center/WPB
Church
Colleague/Friend
DAJACK
DAORLFL
Direct Mail
EAMC
Email
GSS
GSS24
IMPORT
MBCFL
MBCOR
MBCPA
Newspaper Ad/Insert
OLLI
OPCE Newsletter
OPCE Website
Other
Social Media
Web Search
* First Name:
* Address:
* City:
* State:
Select State
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
APO-Europe
APO-Pacific
APO-Cen/South America
International
* Zip/Postal Code:
* Day Phone:
Gender:
Gender
Female
Male
Non-binary
Relationship to Auburn University:
Relationship to Auburn University
Attended AU/Alumnus
Children employed by AU
Current Faculty
Currenty Staff
No direct relationship to Auburn University
Prefer Not to Say
Retired Faculty
Retired STaff
Spouse/Partner employed by AU
Ethnicity:
Ethnicity
American Indian or Alaska Native
Asian or Pacific Islander
Black or African American
Native Hawaiian
Other
Prefer Not to Say
White
Education Level:
Education Level
2 Year Degree
4 Year Degree
Doctorate
Graduate Degree
High School Graduate
Less than High School
Prefer Not to Say
Professional Degree
Some College
Age:
Age
55 - 59
60 -64
65 - 69
70 - 74
75 - 79
80 - 84
85 or older
Prefer Not to Say
Under 54
Employment Status:
Employment Status
Disabled
Employed Full Time
Employed Part Time
Networking Social No
Networking Social Yes
Prefer Not to Say
Retired
Semi-Retired
Unemployed and Looking for Word
Unemployed, Not Looking for Work
Special Needs: