Alumni Survey

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Are you interested in volunteering with a school? If so, please take a few moments to share your contact information, availability and activity interests. This information will be sent to the APS contact for your alumni club. If you are the club contact for APS and would like to receive other alumni's responses to this survey, please indicate that below.

You can also download the survey as a Word document and submit it to APS Project Manager Julie Braeutigam or via fax to 773-553-1541.

Don't see your alumni group listed? To add it, you can either , APS Project Manager, or select 'other' below, fill in the name of your group, and submit the survey. Your alumni group will then be added so other volunteers can submit their responses.

* indicates a required field

Contact Information

* First Name:

* Last Name:

* Alumni Group:

Alpha Phi Alpha's partner school is Copernicus Elementary.

Amherst's partner school is McCutheon Elementary.

Beloit's partner school is Andersen Elementary.

Boston's partner school is Stewart Elementary.

Brown's partner school is Columbia Explorers Academy.

Cornell's partner school is Penn Elementary.

Dartmouth's partner school is Pulaski Elementary.

Duke's partner school is Greeley Elementary.

Harvard's partner school is Walter Payton Prep.

Howard's partner school is Corliss High School.

Indiana's partner school is Pritzker Elementary.

The BMA's partner school is Dunbar Vocational High School.

Knox's partner school is Morgan Park High School.

The Miami of Ohio's partner school is Trumbull Elementary.

MIT's partner school is Jones College Prep.

Morehouse's partner school is Hope High School.

Northwestern's partner school is Lincoln Park High School.

Penn State's partner school is Goethe Elementary.

Princeton's partner school is Roosevelt High School.

Purdue's partner school is Kelly High School.

Smith's partner school is Kelvyn Park High School.

Spelman's partner school is Young Woman's Leadership Charter.

Stanford's partner school is Reavis Elementary.

Stillman's partner school is Gillespie Elementary.

Texas Southern's partner school is Harlan Community Academy High School.

Thunderbird's potential partner school is LaSalle Language Academy.

University of Chicago's partner school is Young Woman's Leadership Charter.

University of Illinois' partner is Goudy Elementary.

Iowa's partner school is Chalmers Elementary.

Michigan's partner school is Taft High School.

Notre Dame's partner school is Amundsen High School.

Williams's partner school is De La Cruz Middle School.

Yale's partner school is Yale Elementary.

* If other, please specify:

* Which HBCU?:

* Email:

* Phone 1:

Home Work Cell
e.g. ###-###-####

Phone 2:

Home Work Cell
e.g. ###-###-####

I am interested in serving on an Adopt-a-School committee with my fellow alumni.

I would you like to sign up to receive Alums in Action, APS's quarterly email newsletter that features details on upcoming events, success stories and useful tips to improve partnerships. (APS will never share your information with any third parties.)

Preferences and Availability

Preferred geographic area of partner school (mark all that apply):

North Side	West Side	South Side	Loop/Downtown
Near North Side	Near West Side	Near South Side

North Side	West Side	South Side	Loop/Downtown
Near North Side	Near West Side	Near South Side

North Side	West Side	South Side	Loop/Downtown
Near North Side	Near West Side	Near South Side

Preferred age group (mark all that apply):

Elementary (Pre-K - 8th grade)
High School (9th - 12th grade)

Availability - Please indicate all the times during the week that would work best for you to volunteer (mark all that apply):

	8am-Noon	Noon-4pm	Evenings
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Notes on availability:

Activity Interests

Please indicate which of the following activities you may be interested in doing with a school.

One-time activities (mark all that apply):

Speak to students about your career, college experience, hobby or background.

Help students with college applications, essays, or financial aid.

Host a student for job shadow day.

Accompany students on a field trip or other school events.

Judge an academic contest

      Science Fair
      History Fair
      Debate
      Other (please specify):

Participate in a beautification project

      Painting
      Landscaping
      Organizing a library
      Other (please specify):

Ongoing activities (mark all that apply):

Tutoring, weekly or monthly

      Math
      Reading & Writing
      Science
      Other (please specify):

Mentoring, monthly or e-mentoring

Coaching

Sports

Which one(s)?

      Music
      Debate
      Drama
      Other (please specify):

Technology support or training

What talents or interests do you have that you could share with students?

Thank you for your interest! The APS contact from your alumni group will receive this information and contact you shortly.

Page updated 10 November 2008

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