(fields marked with * are mandatory)

General

First Name  *
   
Last Name  *
   
Email Address  
   
Home Address1  
   
Home Address2  
   
City  
   
State  
   
Zip  
   
Contact Number  
   
CellPhone Number  
   
Graduation Year  
   
Preferred Contact  
   
Profession  
   

Background

Major  
   
Minor  
   
Activities at Trinity  
   
Company  
   
Work Number  
   
Affilliations  
   
Would you be intested in...  
   
helping players w/ our career services program?  

   
participating in our spring golf outing?  

   
talking with a recruit about Trinity?