Privacy: Personal information in connection with this form is collected under the authority of The York University Act, 1965 and will be used for educational, administrative and statistical purposes. If you have any questions about the collection, use and disclosure of personal information by York University, please contact: career@yorku.ca

Please complete the following form if you have agreed to participate in a York University Career Centre panel discussion.

Name Name First Last
Title
Organization
Phone Phone * - ### - ### ####
Email *
Organization Website
Are you a York graduate?
What was your Program of Study?
Which faculty was your program in?
What degree did you complete (eg. BA, BSc, MA, MSc)?
Year of Graduation
Are you interested in having your career story featured on the Career Centre website?
See sample alumni stories on the Career Centre's website:

http://careers.yorku.ca/alumni/career-stories/
Organizational Profile *

70 Words Maximum
Please indicate the name/topic of the event in which you will be participating: *
Date Date * / MM / DD YYYY

See sample alumni stories on the Career Centre's website: http://careers.yorku.ca/alumni/career-stories/

See sample alumni stories on the Career Centre's website:

http://careers.yorku.ca/alumni/career-stories/