About You . . .

Your name 

Email address (in case we have questions) 

Phone (in case we have questions) 

Your permanent hometown and state 

Your high school Year you graduated from H.S. 

Your major 

Your year in school (Select One):   Freshman    Sophomore   Junior   Senior

Your expected SUNY Canton graduation semester: 

Parents'/Spouse names and cities of residence, as you'd like them to appear:

If a faculty/staff member asked you to fill this out, please indicate his/her name: 

Describe your role in a current/recent project, activity, honor, college-related trip or other reason for this release:

 

Clubs, organizations or activities that you are involved in at SUNY Canton:

 

Any academic achievement(s):

 

Any part-time (including work-study) jobs that you currently have:

 

Your career plans:

 

Anything else everyone should know about you: