Black Alumni Network Membership Form

As the University of New Haven's Black Alumni Network begins building a strong foundation, we're looking to acquire updated contact information for future outreach and communications.

The information submitted on this form will be shared with the University's Office of Alumni Relations to update your alumni record. This ensures you will receive information about upcoming alumni events, news, and communications for the Black Alumni Network.

Name Name First Last
Class Year
Email
Preferred Phone Number Preferred Phone Number - ### - ### ####
Preferred Phone Number Type

Preferred Phone Number Type Cell Phone Home Phone Business Phone
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
What is your preferred method of communication?

What is your preferred method of communication? Email Text Social Media Other Other
What social media platforms do you use most? Please select all that apply.

What social media platforms do you use most? Please select all that apply. Facebook Instagram LinkedIn Snapchat WhatsApp GroupMe TikTok Other Other
How would you prefer to connect with members of the Black Alumni Network? Please select all that apply.

How would you prefer to connect with members of the Black Alumni Network? Please select all that apply. In person Virtually (Zoom or video-based platform) Social media groups Other Other
Are you interested in being involved on a BAN Committee? If so, let us know which one.

Are you interested in being involved on a BAN Committee? If so, let us know which one. Community - Creating a sense community amongst the network members, grow and keep in contact through various platforms Development - Career opportunities, professional development, mentoring of current students, partnerships, fundraising Engagement - Participation in campus programs, alumni events, community service events Not Interested