Chemistry Department Alumni Profile Form

Dear Alumni,
Please share with us your current contact information and the successes you have achieved since graduating from Eastern Illinois University’s Chemistry Department.

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About You
Name Name First Last
If you attended EIU under a different last name, please provide that here:
ABOUT YOUR UNDERGRADUATE DEGREE FROM EIU
Major

Major B.A. in Chemistry B.S. in Chemistry
BS Concentration

BS Concentration Biochemistry Chemistry Teacher Cert., Chemistry Specialization Management Accelerated MS Program in Chemistry
Semester & Year of Graduation (Undergraduate Degree)
ABOUT YOUR GRADUATE DEGREE FROM EIU (if applicable)
Master of Science in Chemistry MSNA for high school teachers (used to be MS Ed.)
Semester & Year of Graduation (Graduate Degree)
DEGREES OR CERTIFICATIONS YOU HAVE OBTAINED SINCE YOU COMPLETED YOUR DEGREE(S) AT EIU
CURRENT INFORMATION
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Daytime Phone Daytime Phone - ### - ### ####
Evening Phone Evening Phone - ### - ### ####
Current Employer
Employer Location
Please use this area to tell us a little more about yourself and what you have been doing since you graduated from EIU.(personal/professional accomplishments, family, etc.)
If you would like to share feedback about your experiences at EIU that could be posted on the Chemistry Department website or in other recruiting materials, Please tell us how your degree from EIU has contributed to your success.
Thank you and we wish you the best!

Dr. Mark McGuire
Department of Chemistry
Eastern Illinois University

Chemistry Department Alumni Profile Form

Chemistry Department Alumni Profile Form

About You

ABOUT YOUR UNDERGRADUATE DEGREE FROM EIU

ABOUT YOUR GRADUATE DEGREE FROM EIU (if applicable)

CURRENT INFORMATION

Thank you and we wish you the best!