Central Michigan University LGBTQIA+ Affinity Group Interest Form

Please note: While we ask for your name while at CMU, we understand this may no longer be the name you use. We only use this information to match you to your campus ID number and will update our records accordingly.

First name (chosen): *

Last name: *

Pronouns *

First name (while at CMU): *

Last name (while at CMU): *

Graduation year

Why are you interested in a CMU LGBTQIA+ Affinity Group?

Please provide any additional information for the Alumni Relations team below.

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Central Michigan University LGBTQIA+ Affinity Group Interest Form

Contact information

Interest