Kellogg Institute - Notre Dame Alumni*

* The information you provide is for the use of the Kellogg Institute and may be used in Kellogg publications. If you wish not to have certain information published, please check the box beside that item.

Please note: Hitting the return or enter key will send the form immediately. Please use the tab key to move between fields. If the information appears longer than the field, the information will still be sent.

Name

E-mail address

Year of graduation from ND

Home address

Home phone

Cell phone

Current job title & location

Organization or company

Work address

Work phone

Work fax

Length of time at this job

Other work experience since graduation

Graduate school and program (if applicable) and estimated graduation date

Awards/Publications/Accomplishments

Have any of your post-graduate experiences been related to international affairs? Specifically, have any
of those experiences related to Latin America? If so, explain.

For Latin American Studies Program (LASP) only


	Yes	No

Would you like to receive the LASP Newsletter?

	home	office

Please send the newsletter to my?

* The information you provide is for the use of the Kellogg Institute and may be used in Kellogg publications.
If you wish not to have certain information published, please check the box beside that item.