Michigan Youth in Government

ALUMNI REGISTRATION

We have established an organization to help keep track of our alumni. This program will run concurrently with the state conferences each year. We ask that you to fill out this form so that we may continue this process. There is no requirement to fill out every field in this form but we encourage you to provide us with as much information as you can share. Thank you for taking the time to help hundreds of former YIG participants keep in contact with each other and also for helping us maintain our alumni program.

First Name: Last Name: Maiden Name:

Address: City:

State: Zip: Phone:

Email: Secondary Email:

Are you registered at Facebook.com? yes no

Dates involved in YIG:

Leadership positions held in YIG, if any?

High School:

Year of High School Graduation:

College:

Year of College Graduation:

Are you a registered voter? yes no

Are you politically active? yes no
Explain:

Are you active in your community? yes no
Explain:

Current occupation:

Would you like to become involved in the alumni program, and if so how?

Comments/suggestions:

Note: Your name, school, leadership position, participation dates and e-mail address will be
published on this site so that you may keep in touch with past YIG friends.