Calling All University Alumni! 
SHPEtinas Region 2 is seeking out contacts to store for future SHPEtina endeavors! If you choose to share your contact information to be stored in our database please fill out the form below! Thank you for your contribution towards the future of SHPEtina events!
Email *
First Name/Last Name  *
What university did you graduate from?  *
Were you ever involved in your local or regional SHPE chapter?  *
If Yes, please list title/positions.
Where are you working?  *
If Yes, please list the name of the company/business do you pertain to.  
What is your position/title in this company? 
What is your personal phone number?  *
What email do you use most frequent?  *
What is your LinkedIn link?  *
Please select any of the following topics that you have experience in.  *
Required
Please be on the lookout for future endeavors coming from the region, local chapters, or individuals! Emails may come from all over so please be sure to not let them slide by! *
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