Alumni Updates | Ambassador Interest Form

For graduates of master's and PhD programs in the Jacobs School of Medicine and Biomedical Sciences.

First Name*

Preferred Name

Last Name*

Former Name (if different while a UB student)

Personal Email*

Professional Email

If you provided two email addresses, which one do you prefer we use?

Cell Phone

LinkedIn Page URL

Mailing Address*

Country

Street

City

Region

Postal Code

First Graduate Degree Earned at UB Jacobs School of Medicine and Biomedical Sciences*

First Degree Graduation Date*

Second Graduate Degree Earned at UB Jacobs School of Medicine and Biomedical Sciences (if applicable)

Second Degree Graduation Date

If you started a PhD, did you spend your first year in our entry portal program (PPBS, formerly IGPBS) before matching to your department and lab?

Yes

No

Faculty Mentor First Name

Faculty Mentor Last Name

The Office of Biomedical Education Alumni Ambassadors play a valuable role in the recruitment of prospective students and career enhancement of current students. Are you interested in joining our team of ambassadors? We offer opportunities with low and moderate time commitments.*

Yes

No

How would you like to get involved? (check all that apply)

Share testimonials and other content for websites, videos, social media

Serve as alumni speaker for events (e.g. online or in-person panels)

Mentorship of current students (group or one-on-one)

Represent the school at national scientific meetings (e.g. tabling)

Create internship linkages at your workplace

Recruit graduating students for jobs at your workplace

Other

Specify Other:

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