Rensselaer Polytechnic Institute Parents Program

Parents of Rensselaer Membership Form

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Fields in Red are required.

Registrant Information:
Name of Family Member(s):
Street Address:
City, State, ZIP:
Phone number:
Email:
Re-enter Email:
Student Information:
Student name (#1):
Major / Year of Graduation (#1):
Student name (#2):
Major / Year of Graduation (#2):

Are you or a member of your family a Rensselaer alumnus?
Yes What year?
No

Additional information

I am interested in learning more about volunteer opportunities for parents, including (please check all that apply):
Participating in Parent Orientation programming
Speaking with prospective Rensselaer parents
Speaking with current students about career opportunities
Other volunteer opportunities I would like to get involved with (please explain):

We want to hear what interests you! Please share with us any topics that you would like to learn more about in future newsletters or other communications:

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