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Downstate OT Alumni Questionnaire
Thank you for completing this form and helping to shape our Downstate OT Alumni community!
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First Name
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Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Employer
*
Your answer
Primary Area of Practice
*
Your answer
Downstate Alumni
*
Yes
No
I am interested in... (select all that apply)
*
Participating in a virtual alumni panel for fieldwork or guest speak in a class to share my professional insights with current students
Supervising a Level I or Level II fieldwork student
Joining Downstate for an upcoming alumni reunion or networking event, whether in-person or virtually
Donating to a scholarship fund to support high-achieving OT students who demonstrate a financial need
Contributing to Downstate's newsletter by sharing success stories, updates, or advice for new graduates and fellow alumni
Mentoring current students or recent graduates who could benefit from my expertise and guidance
Catching up and sharing what I've been up to lately
Joining Downstate OT's advisory board use my practice insights to support the student experience and advance the curriculum
Other:
Required
Please share any additional thoughts and preferences below.
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