Athletic Alumni Questionnaire

The Butler University Athletic Department is inviting all former Butler student-athletes to assist us in updating our alumni records. Please help us by filling out the form below.

If you have any questions, please contact Mike Freeman at (317) 940-6452 or at msfreema@butler.edu.

 

 
First Name:
Last Name:
Maiden Name:
Sport(s) Played at Butler:
Years Played:
Address 1:
Address 2:
City:
State:
Zip Code:
Employer:
Title:
Business Address 1:
Business Address 2:
Business City:
Business State:
Business Zip:
Business Phone:
Email:
Work Email: