Salt Graduation Form

First Name*

Middle Name

Last Name*

Preferred Pronouns

Salt Institute Study Track*

Semester*

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Address Valid Until:

Permanent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone Number*

MECA Email Address*

Non-MECA Email Address

Alumni Directory*

Would you like your email address to be included in MECA's online Alumni Directory (visible to the public)?

Website

Alumni Directory Website Preference

Would you like your website to be included in the Alumni Directory on MECA's website (visible to the public)?

Instagram Handle

Future Plans

Please list any future plans you would like to share with us.

Current Employer / Location

Future Employer / Location

Professional Development at MECA

Alumni Involvement

Would you be interested in:

Alumni Support

What professional development opportunities would be most helpful to you as an alum?

MECA Highlight

Any highlights of your educational experience at MECA you would like to share?

Feedback

Any additional feedback or comments about your time at MECA?