ALUMNI SURVEY
WASHINGTON UNIVERSITY
DIVISION OF BIOLOGY AND BIOMEDICAL SCIENCES
Please complete the following two pages of the DBBS graduate survey. E-mail the completed form as a
Word attachment to DBBSalumni@dbbs.wustl.edu or print and mail to:
Washington University School of Medicine
DBBS Alumni Office
Campus Box 8226
660 S. Euclid Ave.
St. Louis, MO 63110-1093
Please direct any questions to Jennifer Brown, Alumni Coordinator at (314) 747-0947 or lawlerj@wustl.edu.
Please note that items marked with an asterisk will be listed on the DBBS website unless requested otherwise.
*NAME
Please print or type
HOME ADDRESS
City
State
Zip Code
PHONES
Home Phone (area code & number)
Cellular Phone (area code & number)
PERMANENT
EMAIL ADDRESS
*INSTITUTION/EMPLOYER
*DEPARTMENT
*PRIMARY POSITION
Start Date
WORK ADDRESS
City
State
Zip Code
WORK PHONE
WORK EMAIL ADDRESS
*URL (optional)
*Give a statement of your research interests or primary professional activity to be placed on the DBBS website
(Remember the website is searchable).
SECONDARY POSITION (If Applicable)
SECONDARY
INSTITUTION/EMPLOYER (If Applicable)
Start Date
We take great pride in our alumni and rely on you for advice, leadership, and assistance in continually
enhancing the quality of our programs. As an alumnus of DBBS, would you be willing to share your knowledge
regarding employment matters with current students, postdocs and other graduates?
Yes
No
If yes, the Alumni office will share your email address or work phone number with current
students/postdocs/graduates.
List the number of the following which you have trained or are currently training:
Undergraduates
MA/MS Students
PhD Students
Postdocs
If you work with undergraduates, would you like a supply of Division brochures?
Yes
No
List any honors and/or awards you have received:
If possible, please send your C.V. or resume as an attachment to DBBSalumni@dbbs.wustl.edu.
This will be used for internal purposes only.
The Alumni Office is always looking for the best ways to serve the specific needs of our alumni. We
are currently in the process of updating the Alumni section of the DBBS website and are looking for
alumni who are willing to provide us with a quote and/or agree to be featured on the Alumni
Spotlight. Visit http://dbbs.wustl.edu and select Alumni to view the Alumni Spotlight page.
Please contact Jennifer at lawlerj@wustl.edu if you are interested!
This form can also be downloaded online in the Alumni section of
http://dbbs.wustl.edu under Alumni Resources.
06-2008