Membership Directory

The Ohio State University Alumni Club of Greater Pittsburgh

Please fill out the information below so that we can start making the club better, today! This information will ONLY be shared with other club members for networking purposes if you give us permission to do so.
Contact Information
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred E-mail
Phone Number

Area CodePhone Number
Happy Birthday! Please enter your Date Of Birth:

MonthDayYear
What are your Skills/Hobbies/Interests/ Other Groups your are a part of?
Education Information
Are you an Alumnus of the Ohio State University? (If not, that's ok! Our Club is for all fans.)

Other
Please list 1. First Degree earned 2. Major/Concentration for that Degree 3.University Attended 4. Date Earned or expected
Please list 1. SECOND Degree earned (if applicable) 2. Major/Concentration for that Degree 3.University Attended 4. Date Earned or expected
Please list 1. THIRD Degree earned (if applicable) 2. Major/Concentration for that Degree 3.University Attended 4. Date Earned or expected
Please list any clubs/societies you were a part of during your education. Feel free to include any positions held or comments.

Rows	Very Interested	Somewhat interested	Neutral	Not very interested	Not interested at all
Attending Networking Events, such as Happy Hours
Being able to contact other members easily for networking

Rows	Do NOT Include in Member Directory
First Name
Last Name
Email Address
Employer
Position/Title
University Attended
Degree(s) Earned
Major(s) Studied
Year Graduated
Interests/Hobbies

The Ohio State University Alumni Club of Greater Pittsburgh