SUNY Geneseo Alumni of Color Affinity Self Identification Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is designed to collect information about Geneseo graduates who identify as alumni of color and would like to be part of the newly-formed Alumni of Color Affinity Chapter. The chapter will bring Geneseo graduates together to network with one another and explore opportunities for student mentorship. This alumni affinity chapter is advised by staff representatives from Access Opportunity Programs, Alumni Relations, Multicultural Programs and Services, and the Office of Diversity & Equity.

Email *

Chosen First (lived by) Name: *

Maiden (former last) Name (if applicable):

Last Name: *

Geneseo Class Year: *

With which ethnicity/ethnicities do you identify? *

Please check all that apply.

Black / African American (born in the United States or outside)

Latinx / Hispanic

Asian

Native American / American Indian / Indignenous

Mixed (please specify in the next section)

Not listed above (please fill in your response in the next section)

Required

If you answered "Mixed" or "Not listed above" in the previous section, you can provide more information here:

While I was a Geneseo student, I was involved in the following ACE organization(s): *

Check all that apply

African Student Association

Black Student Union

Chinese Culture Club at Geneseo

Caribbean Student Association

Japanese Culture Club

Korean American Student Association

Latinx Student Association

Pride Alliance

Shakti

none of the above

Required

List any other student activities in which you were involved:

Examples include: athletic team, Greek organization, AOP, club sport, other student organizations

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms