Alumni Prospect Form

Please provide as much information as possible below.  If you don't have a certain piece of information, just leave that field blank.  If you have multiple prospects, just submit a single record, then close and reopen this page to enter the next prospect's information.  Your contributions are highly appreciated.

This information will only be used to communicate with the nominee and to request follow up information.  It will not be provided to any person or group outside of the TKE Northwest Alumni Board of Advisors.

Fields marked with a red asterisk are required fields.

Name of the Prospect
Home Information

Please enter Freshman, Sophomore, Junior or Senior at Northwest

Please enter Family/Relative, Relative of coworker/church, Other Connection and explain or Just aware they are attending Northwest.

High School Information
Other Information
Yes|No
Have you personally discussed TKE with this Individual?
When we contact this individual, do we have your permission to mention that you suggested they be interested in TKE?