La Casa Cultural
Latino Cultural Center
301 Crown Street
New Haven, CT 06511
203-432-0856
Email: lacasa@yale.edu

Center Hours:
Monday-Thursday: 4-10pm
Sunday: 4-10pm
Other times by appt only

Alumni

Alumni Contact Information Form

BIOGRAPHICAL INFO
Name:
Ethnic Background:
Gender:
Address:
Phone Number:
Email Address:
Primary Contact:

EDUCATION
College:
Year:
Undergraduate Degree:
Other Degrees:
What Latino Organization(s) were you involved with?

EMPLOYMENT
Company Name:
Title:

TELL US ABOUT YOURSELF
Please include any information you'd like to share with us! Tell us about your family, any current ties with Yale, etc.

ADDITIONAL INFORMATION
I would like to receive more information about the Yale Latino Alumni Association. Yes No
I would like to get involved in the development of the Yale Latino Alumni Association. Yes No
I would like to be added to the Yale_Latinos email listserv. Yes No
I would like to complete the recent survey and add my recommendations to the development of the Yale Latino Alumni Association. Yes No
I am not interested in receiving further correspondence regarding Latino alumni activities at Yale. Yes No