Alumni Update Form Thanks for taking a moment to check in with Project MEGSSS. As we celebrate our 40th anniversary year, we hope to reconnect with you, gather information about your journey since your MEGSSS days, and we'd like to know a little about your reflections on your time at Project MEGSSS. Some of this data will be very helpful in our fundraising and grant writing efforts, and we hope that you will help us in this very important way--and that you will consider supporting us in other ways as well. Help us as we put the "M" in STEM! Best regards, Heather Gutting, Executive Director Parent(s) of Alumni Name Prefix - None -Mrs.Ms.Mr.Dr.Sr.Fr.Msgr.DeaconBro.Deacon Bro.MissRabbiRev.Mr. & Mrs.Dr. & Mrs. First Name You may enter both parents' first names here, separated by an ampersand "&" Middle Name Last Name You may enter both parents' last names here, separated by a slash "/" Street Address Street Address Line 2 City State/Province Postal Code Address Location BillingHomeMainOtherWork Phone Number Phone Location BillingHomeMainOtherWork Email Email Location BillingHomeMainOtherWork Willing to Participate Online Survey Focus Group Telephone Survey Verified By Phone By Online Search Have address and phone number been verified by phone or online search? Data Source Update Notes What is the source of the update? What has been updated? Student (Alumni) Information Name Prefix - None -Mrs.Ms.Mr.Dr.Sr.Fr.Msgr.DeaconBro.Deacon Bro.MissRabbiRev.Mr. & Mrs.Dr. & Mrs. First Name * Middle Name Last Name * Maiden Name If applicable Street Address Street Address Line 2 City State/Province Postal Code Address Location BillingHomeMainOtherWork Phone Number Phone Location BillingHomeMainOtherWork Email Birth Year Year Tested Courses Completed Tested Summer First Year Second Year Third Year Other (future summers, other programs) MEGSSS graduate Courses Completed - Other What type of other course(s) have been completed? Last Year in Program School Middle/Junior High School Attended During MEGSSS period High School Attended Year Graduated High School High School Honors or Achievements Missouri Scholars Academy Enkelmann Research Program or STARS National Merit Scholar (Finalist or Commended) Bright Flight Valedictorian/Saluatorian AP Scholar Other High School Comments, Additional Honors (high ACT/SAT scores, scholarships of note, etc.) check all that apply High School Honors - Other Highest Level of Schooling Completed - None -High SchoolBachelor's DegreeMaster's DegreeJ.D.M.D.Ph.D. or higher Check only one College/University Attended? (1) Degree, Major/Minor (1) Year Graduated College (1) College/University Attended? (2) Degree, Major/Minor (2) Year Graduated (2) College/University Attended? (3) Degree, Major/Minor (3) Year Graduated (3) Other College Comments, Additional Honors Current Employer Current Occupation STEM Occupation Would You Classify Your Current Occupation as a STEM (science, technology, engineering, or mathematics) position? Yes No Highlights from your time in MEGSSS that you would like to share (or other comments) Siblings Yes No Are there any siblings in the program? Sibling Sibling Name Prefix Sibling First Name Sibling Middle Name Sibling Last Name General Sibling Information Student File Upload If you would like to upload any information, such as a picture, please do so here.Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc docx. Are you willing to participate in one or both of the following: Focus Group Telephone Survey Would you be willing to volunteer to help Project MEGSSS? Volunteering options are varied, and include presenting to students, talking to potential donors, calling alumni, and serving on our board. As a non-profit organization, volunteers are key to our success! Yes No Maybe Notes Do you have any additional comments you would like to add? Leave this field blank Submit
