University of North Texas
University of North Texas Black Alumni Network (UNT-BAN)
HOMECOMING 2012 Registration Form


Name (including maiden name if applicable):

Guest Name:

Mailing Address:






Years attended UNT:

Member of UNT organizations:

Field of study:

Year Graduated:

Degree Received:

Are you a business owner:

If yes, Business name & address:

Would you be willing to promote on the job training for UNT African American students through an internship program?

Briefly describe product/service that your business provides:

Would you be willing to be a mentor to an African American student at UNT?

If yes, in what field of study:

Are you a member of the UNT Alumni Association?

If yes, please provide your UNT Alumni Assoc. membership number:

Would you be interesting in working on the Homecoming Committee for 2013?