Questions marked with an asterisk (*) are mandatory.

	1. * Personal Information
	Name Graduation Year Email Address

	2. * Which location/time of year would you be willing to attend our 140th anniversary celebration?
	Summer in Chicago During a home football weekend in Champaign During a non-football weekend in Champaign Any Other, please specify

	3. * What types of events would you attend surrounding a 140th Anniversary dinner and reception?
	Friday golf outing Sunday golf outing Class/era-specific gathering Friday evening Class/era-specific gathering Sunday Football watch party or tailgate (if applicable)

	4. * Would you be willing to volunteer to help plan the 140th anniversary event?
	Yes No Unsure

	5. If yes, in what capacity would you be willing to help?
	Help chapter-wide events, such as the dinner, reception and/or golf outing Serve as a class agent for your class/era to encourage attendance among those brothers, and help plan a smaller, informal gathering for your class/era during the anniversary weekend

	6. Share an update on what’s new in your life today for publication in our newsletter or on our web site.

	7. Share a few words about the meaningful relationships you’ve maintained with Delt brothers in your alumni years