John Jay Institute/Witherspoon Alumni

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Email *

First Name *

Last Name *

Maiden Name (if applicable)

I am an alumnus/alumna of (check all that apply): *

John Jay Fellows Program

Saratoga Fellows Program

Witherspoon Fellowship

Executive Seminars

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I participated in this term: *

Fall

Spring

Summer

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Of this year: *

Were you a class RA? *

Yes

Our class did not have RA's

Employer Name:

Job Title:

Would you be okay with us listing your place of employment/job title on the John Jay Institute website?

Yes

Other:

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Marital status:

Single

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If married, spouse's first name:

Home Street Address *

(include apt./suite # if applicable)

City *

State *

Zip Code: *

Cell Phone:

Personal Email Address:

Do you check or forward your JJI Email?

I check my JJI email, but not regularly

I check my JJI email regularly

I have my JJI email forwarded to another mailbox that I check regularly

I do not check my JJI email nor do I have it forwarded to another mailbox

Other:

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Which is your preferred mode of communication from the John Jay Institute? *

Text

Email to my JJI email address

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Snail mail

Other:

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