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• FIU
• Afghanistan Study Group
• Trans-Atlantic Leadership
• Presidential Studies Quarterly
• Geo-Economics & Energy
• Triumphs & Tragedies Casebook
• Health & Medicine

• Strategic Reform
• Project on National Security Reform
• Homeland Security Roundtables
• Nuclear Defense Working Group
• Advancing Innovation

• Presidential Fellows Program
• National Consortium for Character-Based Leadership

First Name:
Middle Name:
Last Name:
Maiden Name (if applicable):
Date of Birth:
Education
College/University:
Graduation Year:
Center Fellow Year(s):
Did you serve as a Conference Counselor:	Yes  Year(s): No
Additional Degree(s)
College/University:
Degree Received:
Year Received:
College/University:
Degree Received:
Year Received:
College/University:
Degree Received:
Year Received:
Current Address
Street:
City:
State:
Zip Code:
Telephone Number:
Cell Phone Number:
E-mail:
Current Employment:
Title:
Company:
Address:
City:
State:
Zip Code:
Telephone Number:
E-mail:
Fax Number:
Honors/Achievements
Center Fellows Alumni Association
Are you interested in participating in Fellows alumni events?	Happy hours Alumni receptions during Fellows Conferences Participating in Fellows Conferences (e.g. as a Counselor or on a panel) Other (please specify)
We are looking into expanding the Fellows Alumni Association. Which of the following would you be interested in:	Receiving Alumni Association newsletter Writing for Alumni Association newsletter Serving on Advisory Council Attending networking events Attending educational seminars/lectures Participating in community service opportunities Other (please specify)
Permission I   do   do not   give the Center permission to share this information with other Center Fellows   on-line   off-line   both.