Smile Michigan Alumni of K-grams
SMAK Registration Form

What is SMAK?
Our SPC Archives!

Items highlighted in BLUE will be published for our membership lists, while the rest of the K-grams information will be available to SMAK members (per request). Your email address is required for this online form, but it will not be distributed (nor will your Personal or Address information).

First Name:
Middle Name:
Last Name:
in college
Current Last Name:
if different than college
Graduated:
 (put N/A if no degree)
Degree/Major:

K-grams Information:
Primary Position Held in K-grams:
Year(s) of Primary Position: 
Other Positions (please check all that apply):
 
College Pen Pal
Elementary Pen Pal
Swing Kid
Hall Head
Director
Public Relations Team
Communications Team
Operations/Finance Team
Campus/Group Liaison
Project Volunteer
BookMARK volunteer
BookMARK coordinator
Kids-Fair Buddy
Kids-Fair Group Volunteer  
Kids-Fair Color Captain
Kids-Fair Committee
K-nastics Committee
K-nastics Attendee
KgI Officer/Liaison
Parent/Family Member
Advisor/Facilitator
College Staff
Elementary Staff/Teacher  
Sponsor/Funder
General Supporter
My sister/roomie was in it
Other
Favorite Program/Project/Event:
Favorite Memory:
Favorite Quote in K-grams:
Favorite School or Hall to Visit:
Other Comments and Notables:

Personal Information:
(Please update this information on this site whenever it changes!)
Email (required):
 
Secondary Email :
Primary Phone:
 
B-Day:
Occupation:
 
Company:

Address Information:
(Please update this information on this site whenever it changes!)
The following address information is (please check one): Home   Work
Street:
 
City:
State:
   Zip:  
Country:
Phone#1:
 
Phone#2:
Current address info valid approximately until:

Please list any other questions or comments you have below, thanks!
 
Virtual Signature Approval?
 


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