SHRP Class Year:

    SHRP Program:

    Name (optional):

1. I prefer the class reunion to be: One day event Two day event
2. If it is a one day event, I prefer it to be on: Friday Saturday
3. I prefer the agenda for the Medical Reunion to include:
   • Alumni reception for all programs - mix and mingle
   • Tour of campus
   • Golf or tennis tournament
   • Cocktail reception and honored classes dinner with
   •                         Dean's address
4. Would you enjoy dinner and dancing with a band one night?                                                   Yes No
5. Would you attend a CE course, if offered on general health issues?                                    Yes No
   If yes, do you prefer Friday Saturday
6. When is the best time for a reunion? Fall Spring Summer
7. Would you enjoy receiving the Reunion Yearbook?                                                                                    Yes No
         (includes biographical information on honored classes as well as scenes                                                              from the weekend)
8. Would you like:
   • Class Photograph: Yes No
   • Reunion Tee-shirt: Yes No
   • Other reunion memento suggestions:
9. Would you like to invite favorite UMMC faculty/staff to reunion luncheon?                                        Yes No
10. How do you prefer reunion registration to be priced?
    • I prefer a one-price reunion package, even if I can't  
    •         attend all events.
    • I prefer an itemized list of each event priced separately.
    
    Maximum amount I will pay to attend weekend dinner/events:
    $25-$35 $50 $75
11. Other comments/suggestions:
    
12. Would you be interested in an Alumni Travel Program?                                                            Yes No
13. How do you prefer to be contacted for SHRP annual meetings/reunions?
    
14. Would you serve on a SHRP reunion planning committee?                                                        Yes No