College of Business Administration

Title: Mr. Mrs. Ms. Dr.

Last Name *                   First Name*             Middle Name*

Street Address I * 

Street Address II

City *                                State *                        Zip code *              Country

Phone [i.e. 912-681-1234] *              Email * 
             

GSU (COBA)Information: The degree you received and the graduation year.

Degree: *
[--------------------Select One--------------------] BA Degree BBA Degree MBA Degree MACC Degree

Emphasis *                                                         Year * 
[--------------------Select One--------------------] MBA Business Administration MBA Accounting Concentration MACC Accounting Managerial Accounting Public Accounting Economics Business Economics International Business Banking Financial Planning Real Estate Risk Management Management Entrepreneurship/Small Business Human Resource Operations Information Systems Marketing Fashion Merchandising Retailing Management Sales and Sales Management Logistics and Intermodal Transportation Other

If "Other" was selected, please specify.

Employment: If you are not currently employed, you may skip this section.

Employer Name                         Job Title
        

Employer Address I

Employer Address II

City                                    State                       Zip code                  Country

Phone [ ie. 912-681-1234 ]               Fax
          

Work Email

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Tell us about your achievements since leaving Georgia Southern University.

Would you be willing to participate in our Georgia Southern Sales Panel? By participating you simply agree to complete a questionnaire twice a year concerning sales topics. In return for your participation we will send you a summary of the results of the study and enter you in a drawing for a prize such as an iPod or tickets to a Georgia Southern sporting event.