Keep in touch

Your feedback on preparation for the world outside of academics provided by our curriculum is a key part of our ongoing internal assessments. As an alumnus, you are the only source of that information and we wish to make it easy for you to maintain a relationship with us.

Please tell us about what you are doing now and how we can contact you to ask follow-up questions and to share news of the department with you by email. Rest assured that your information will be kept confidential. Under no circumstances will the information be shared with anyone outside of the university.

Registration Form

Please fill in the following information so that we may keep in touch with you. The areas marked with an asterisk ( *) are required.

                                                                                             

First name: (as appears in UGA records)		*
Last name:		*
Maiden name
Degree:		select degree            BS Environmental Health BS Health Promotion BSEd Health Education MS Environmental Health MS Toxicology Master of Education (M.Ed.) Master of Arts (M.A.) Master of Public Health PhD Health Promotion PhD Toxicology
Year of graduation:		please select 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940
E-mail address:		*
Home Address:		*
City:		*
State/Province:		*
ZIP Code:		*
Country/Area of world:		United States Australia Canada Hong Kong India Mexico New Zealand Singapore United Kingdom Africa Asia Pacific Caribbean Central America Europe Middle East South America
Phone number:
If employed please complete the following:		define your area            public health            environmental protection industrial hygiene            consulting industrial hygiene private industry            school system health care setting not related to major
If employed please complete the following:		define your sector            Federal government            state government            local government            manufacturing            consulting            research            teaching  other
Employer info: Name, address, and phone number
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