Return to the Front Page
Return to the 30th Anniversary Page
Achieve's 30th Anniversary Celebration!
Please take a few moments of your time to download and fill out the Anniversary Questionnaire included on this page. It is available as a Microsoft Word document or as a PDF document. You should have no trouble opening one of them up.Once you have the questionnaire open, take a moment to answer the questions, and share your stories, and then either email the document back to us, or print up a copy for yourself and fax it back to (618) 453-3711. You could always print up a hard copy and mail it to us as well, at this address:
30th Anniversary Planning
Achieve Program
870 Lincoln Drive, Northwest Annex, Wing C, room 116
SIUC mc 6832
Carbondale, Il 62901
This will help us accommodate your stay and plan events for you and your family.
Click to open the MS Word Questionnaire
Click to open the PDF Questionnaire
Note: You will be able to open the MS Word document like any Word document, save any changes to it, attach it to an email, and send it back to us. PDF documents are read-only documents, unless you have the professional version of Adobe to open them up. So, you would only use the PDF document if you can't get the MS Word document to open, or you prefer to have a hard copy to print and mail.
Also, if you prefer to cut and paste, the questionnaire is written below. You can copy the text below into your email browser, answer the questions, and send them back to achieve@siu.edu.
Name (include maiden name if applicable):
_______________________________
Were you a Student? _____
(check one)
Were you a Staff member? _____
If staff, list other graduate students you worked with:
_____________________________________________
Spouse/significant other/children:
_____________________________________________
Age: _______
Graduation date (if applicable): ______________
Years at SIU: ___________________
Hometown/city of residence: ____________________
Major: ___________________
Job/place of employment: _______________________
Personal accomplishment(s) you wish to share:
______________________________________________
______________________________________________
Hobbies/interests: ____________________________
Funny stories/anecdotes/memories of SIU and Achieve:
______________________________________________
______________________________________________
_____ I will be attending the event
If you attend, total number in your party: _______
_____ I will not be able to attend but please include by bio info in the memory book
_____ I will not be able to attend and prefer not to participate in the memory book project
Activities I would like to see included as part of the reunion festivities:
______ dinner
______ brunch
______ picnic
Please list other events you would like to see included:
______________________________________________
______________________________________________
Thank you! Please email the completed page back to achieve@siu.edu or fax it to (618) 453-3711 or mail it to:
30th Anniversary Planning
Achieve Program
870 Lincoln Drive
Northwest Annex wing c room 116
SIUC mc 6832
Carbondale, IL 62901