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Alumni Reunion Banquet 2014 - Questionnaire

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Alumni Reunion Banquet
Sunday, May 18, 2014
Sheraton Times Square Hotel, New York City

Class of 1964 & Class of 1989 Questionnaire

We hope to see you in New York City on Sunday, May 18 for a reunion celebration with your New York Medical College classmates! Even if you can't attend the Reunion Banquet, your classmates will still want to know what you've been up to, so please fill us in on your activities. Your responses will be compiled with your classmates’ into a booklet that will be distributed for everyone to enjoy.

NOTE: PLEASE COMPLETE BY MAY 1, 2014
* Required Field

    

* I am a member of the

  Class of 1964 - Celebrating the 50th Reunion

  Class of 1989 - Celebrating the 25th Reunion

CONTACT INFORMATION

*First Name:   M.I.:   
*
Last Name:

*
E-mail:

*Home Address 1:
  Home Address 2:
*City:   * State:   * Zip:
*Preferred Evening Phone:

Business/Practice Name:
Businness Address 1:
Businness Address 2:
City:   State:   Zip:
Preferred Daytime Phone:

FAMILY INFORMATION

Spouse/Partner's Name

How many:
 children:    grandchildren:

Are there any other graduates of New York Medical College in the family?
Yes        No

If yes, please tell us who:

CAREER/PERSONAL INTERESTS

Medical specialty?

What are you currently doing professionally?

What professional and/or personal accomplishments are you most proud of? Don’t be modest!

What interests do you have other than medical?

REMINISCENCES/REFLECTIONS

What was your most memorable and/or humorous moment at New York Medical College?

What makes you most proud to be a graduate of New York Medical College?

What are your feelings about the changes in medicine since your graduation from New York Medical College?

Thank you for taking the time to complete this
Reunion Questionnaire.

If you have any questions regarding this questionnaire or the Reunion Banquet, please contact Annette Schwab in the Office of Alumni Relations at 914-594-4556 (phone), 914-594-4682.

  
 

   

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