University of California Alumni in the Capitol Annual Survey

What do you think about the University of California?

We would like to identify UC alumni who work in the State Capitol, legislative district offices and constitutional offices so that we may include you in UC-sponsored events such as the annual “UC Day” legislative conference in Sacramento, on Tuesday, March 4.

Please let us know who and where you are by completing a brief survey.

Title

     

Name

 

 

  

Legislator/Committee Office

 

 

  

E-mail

 

 

  

UC Campus:

Degree:

Major:

Years:

  

UC Campus:

Degree:

Major:

Years:

  


Please let us know your preference for receiving information (check all that apply):

E-mail to email address above

 

 

 

E-mail to this address:

 

 

 

Business address:

street

city


zip

 

Home address:

street

city


zip

 


Relatives attend UC?

  

Son(s)
Yes No

UC Campus:

Years:

    

Daughter(s)
Yes No

UC Campus:

Years:

 

 

Spouse/Partner
Yes No

UC Campus:

Years:

 

 

Mother
Yes No

UC Campus:

Years:

 

 

Father
Yes No

UC Campus:

Years:

 

 

 

 

 

 

 
       

Please forward this survey to anyone you know who is a UC alumnus.
Questions? Contact: Brandon Kline
510-987-0669  or brandon.kline@ucop.edu