Alumni Reporting Form

The Department of Alumni Relations would like to support Schools and Units in their efforts to engage alumni. To better assist you, we are requesting that the form below be completed and returned to us at newark@ruf.rutgers.edu prior to faculty travel or the date that alumni will be on campus for a scheduled visit. Scheduled visits include meetings with deans, faculty, or staff; speaker/presenter/panelist; honoree; volunteer; or attendance at an event. Please call Alumni Relations at 973-353-5242 with questions about the form.

Please answer all of the questions below. If you do not have information for any given field, please enter "N/A."
I. Provide information below for the person who is the point of contact for this event/visit:
Name * Required
First Last
Email * Required
Enter Email Confirm Email
Phone * Required
Dept/Unit * Required
II. Provide information below on the alumni who are visiting RU-Newark, or who you are visiting regionally or internationally; attach file for larger groups.
Alumna/us #1 Name
First Last
Alumna/us #1 Email
Alumna/us #1 Phone
Alumna/us #1 School/Year (e.g. NCAS'02)
Alumna/us #1 Role (e.g speaker, honoree, attendee):
Alumna/us #2 Name
First Last
Alumna/us #2 Email
Alumna/us #2 Phone
Alumna/us #2 School/Year (e.g. NCAS'02)
Alumna/us #2 Role (e.g. speaker, honoree, attendee)
Attach file for large groups (if applicable)
Accepted file types: pdf, txt, doc, docx, jpg, png, Max. file size: 5 MB.
Maximum file size - 5 mega bytes.
III. Provide information below about the event/visit.
Date - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY

Date of alumni event/visit
Name of event (if applicable) * Required
Purpose and brief description of alumni event/visit * Required
Attach event/visit invitation (if applicable)
Max. file size: 100 MB.
Location of event/meeting * Required
Type of event (e.g. conference, reception, dinner, awards) * Required