Alumni Signup - AUSOM Alumni

The "AUSOM Alumni" Membership

AUSOM Alumni Association provides extraordinary access to a dynamic alumni network and career and lifelong learning support, enabling alumni to engage with one another and contribute to the AUSOM community.

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First Name: First Name Required

Last Name: Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Email:* Email is Required

Title:* Title is Required

Profile Photo:* Profile Photo is Required

Phone:* Phone is Required

Class Year:* Class Year is Required

Present Job Title:* Present Job Title is Required

Present Employer: Present Employer is not valid

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Tell us about yourself. Where you live, career, family, etc. What have you been doing since leaving Avalon?:* Tell us about yourself. Where you live, career, family, etc. What have you been doing since leaving Avalon? is Required

Would you like to become a clinical preceptor for Avalon University?:* Would you like to become a clinical preceptor for Avalon University? is Required

Yes No Not Applicable

Would you like to be an Alumni committee member?:* Would you like to be an Alumni committee member? is Required

Yes No

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The "AUSOM Alumni" Membership

AUSOM Alumni Association provides extraordinary access to a dynamic alumni network and career and lifelong learning support, enabling alumni to engage with one another and contribute to the AUSOM community.

Signup

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