Addams Circle Membership Application

Rockford.edu / Alumni / Addams Circle Membership Application

Name(Required)

First Last

Email(Required)

Address(Required)

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

Year(s) attending Rockford University(Required)

Graduation Year(Required)

Major(s)(Required)

Minor(s)

Extracurricular Activities

Current Occupation(Required)

Current Employer Name

Current Employer Address

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

Current Title

Work Experience

Current Hobbies and Interests

Community Involvement

Please indicate how you would like to participate in Addams Circle. Details for each of these activities can be found on RU Addams Circle webpage.

Check all that apply

Mentor Rockford Promise Students

Serve as a connection to student-athletes

Engage with other Rockford University Alumni

Engage with the RU campus