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Full name * Title First Last Suffix
Student name (if different than above) First Last
Mailing address (please provide City and Country, at minimum)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email (primary) *
I give my consent to be added to the Department of Dance contact list:
Yes, I wish to receive mail, email and e-newsletters from the York University Department of Dance for Alumni-related events and announcements. No, I do not want to be added to the email list, and am providing my email for my Alumni file only.

The Department of Dance agrees to keep your contact information confidential, and will not share your information with any third-party or division of York University without your prior written consent.
Phone Number (in North America) ### - ### - ####
Year that you completed/graduated from York University: *
Maximum Allowed: 12 words. Currently Used: 0 words.
Program of Study *
Bachelor of Fine Arts (BFA) Honours Bachelor of Arts (BA) Honours Concurrent degree in Education (BEd) Teacher Training - Canada’s National Ballet School Professional Training - The School of Toronto Dance Theatre (STDT) MFA in Dance MA in Dance PhD in Dance Studies Other (please specify below)

If you graduated from more than one of the programs listed, please indicate this in the field below, called 'Other program of study'.
Other program of study:
Maximum Allowed: 50 words. Currently Used: 0 words.
Place of employment and title (optional)
Maximum Allowed: 50 words. Currently Used: 0 words.
Do Not Fill This Out

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