Dear Alumna(a/us), In appreciation of all the School of Continuing Education students who furthered their careers and enriched their lives by taking courses with us and finished their degrees at Eastern, we have dedicated a special section "Alumni Stars" on our website www.easternct.edu/ce/ We would like to hear your success stories, your achievements, and the stories of how the School of Continuing Education at Eastern helped you accomplish your goals. The School of Continuing Education continues to serve the students who have the busiest lives, juggling work, school, and often family as well. "Alumni Stars" is a web publication that tells the achievements of our adult students and graduates. You can send your story and photo (optional) by mail, email, or by filling in and submitting this form. By mail, please, send to: Sue Crowley, School of Continuing Education, Eastern Connecticut State University, Shafer Hall, Room 101A, 83 Windham Street, Willimantic, CT 06226. By email, please, send to: Sue Crowley at crowleys@easternct.edu You can also just fill in the survey form below.

1.	Name:*

2.	Class Year or Anticipated Graduation Year:*

3.	Email Address:*

4.	Current or New Address:*
	Street and Apt.:   Town, State:   Zip Code:   Country if outside the US:

5.	Phone:*

6.	Best time to reach you:*

7.	What was your program of study at Eastern?*
	Degree:   Major:

8.	What is your job title or occupation?*

9.	What type of business do you work in (or own)? Or are you retired?*

10.	Tell us your success story!**

11.	Tell us about your mentor at the School of Continuing Education! Or how the School of Continuing Education has helped you!

12.	Do you give us your permission for the publication of your story in "Alumni Stars"?*
	YesNo

	Thank you for submitting your story to "Alumni Stars" and sharing your sucess with us. Please, visit our website at www.easternct.edu/ce/ Sincerely, Rochelle Giménez Dean, School of Continuing Education