OMA&D Alumni Connect Form

Former Name

First Name (required)

Last Name (required)

Email Address (required)

Address

City

State

Zip or Postal Code

Country

Phone Number

Cultural Affiliation

Please select all OMA&D programs you had used or affiliated with (select all that apply).

Instructional Center (IC)Educational Opportunity Program Counselors (EOP)Diversity Scholar ProgramSummer Transition Program (STP)Washington State TRiO Expansion Program (WaTEP)Health Science Center Minority Students Program (HSC-MSP)Ronald E. McNair Post-Baccalaureate Achievement ProgramEthnic Cultural Center/Theater (ECC/T)OMA&D/UWAA Mentor ProgramReach Out and Reconnect Re-entry Program (ROAR)TRiO Student Services (SSS)Early Identification Program (EIP)International Study InitiativesStudent AmbassadorUpward BoundOther (specify)

Please select how you would like to stay connected (select all that apply).
I would like to serve as a guest speaker at career events for OMA&D studentsI am willing to have current students contact me for informational interviewsI would like to join the Alum of Color Advisory Council

Please let us know what's happening in your world. All alumni are encouraged to tell us about careers, families, awards, travel, or anything you would like to share with the OMA&D and alumni.