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 tblake@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 Counseling & Career Services 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?