The College of New Rochelle
SENIOR DATA FORM

MUST BE SUBMITTED TO BE ELIGIBLE FOR AWARDS

After Commencement, this information will be forwarded to the Office of Alumnae/i Relations and kept on file for future reference. Please be as accurate and detailed as possible.

Senior's Information

First Name: M.I.: Last Name:

Last 4 Digits of SSN: Home Phone: ( ) Cell Phone: ()

Personal E-Mail: Other E-Mail: Cumulative GPA:

School:    Major:    Minor (if any):

Address:
Home Street Address:

City: State: Zip: Country:
If you live on campus, please also indicate:
Residence Hall Building:    Room Number:    Campus Mail Box:

Additional Information
  1. Did you enter the College as a Freshman or Transfer student?
  2. If you were a Transfer Student, where did you study previously?

  3. Did you participate in your CNR orientation program?
  4. Name of current CNR roommate (if applicable):
  5. Name and location of your hometown newspaper:

    Name: / Location:
  6. Please give the NAME and HOME PHONE NUMBER of the person who is MOST LIKELY to ALWAYS know how and where to contact you:

    Contact Name:    Contact Phone: ( )

Record of Participation

Please note that you must complete the Record of Participation section below. You may also email your résumé to mbecker@cnr.edu . The Career Development Office asks all students to complete a Placement File before graduation which includes your résumé. Do you wish for your résumé to be sent to The Career Development Office at the conclusion of the Senior Awards Process?

Elected or other leadership positions you held at CNR:
(This includes SGA positions, president of a class or club, chairperson of a committee, captain of a team, editor of a publication, departmental board representative, Senator, etc.)

Semester/Year Organization Position Held

CNR clubs or activities in which you were an active participant:

Semester/Year Club/Activity

CNR Intercollegiate Athletic Teams or Club Teams in which you were an active participant:

Semester/Year Team Position

CNR paraprofessional staff positions or on-campus work experience:
(This includes RA, SOS, work-study, campus employment, etc.)

Semester/Year Position Department

Internships, cooperative education, or paid work experience you did off campus:

Semester/Year Type of Experience Location Title

Volunteer work, community service or social justice activities you did on/off campus:

Semester/Year Description Name/Phone of a Reference

Honors, awards, scholarships or special achievements on or off-campus:

Semester/Year Description

Did you do any visiting semesters or study abroad?  If so, please describe:

If you wish, please add anything else you think will be helpful:

If nominated, do you wish to be considered for Senior Awards?