Center for Career Development
Alumni

Application for Alumni Services

NYU Wasserman Center for Career Development
133 East 13th Street, 2nd Floor (Palladium)
New York, NY 10003, (212) 998-4730

Complete and return to the above address. Make sure to include a copy of NYU diploma or transcript.

Please Print

SALUTATION: Mr._____ Ms._____ Dr._____

LAST NAME: _________________________________ FIRST NAME: _________________________ MI: _______

HOME ADDRESS: ______________________________ CITY: ___________________ STATE: ____ ZIP: ______

E-MAIL: _____________________ HOME PHONE: (___)_______________ WORK PHONE: (___)______________

NYU SCHOOL LAST ATTENDED: __________________ DEGREE: ________________ GRAD DATE: _____/_____ (M/Y)

MAJOR: ________________________________ TYPE OF JOB DESIRED: _____________________________________

Services Requested:
Counseling Packages  
One Session
      $_______
Two Sessions
      $_______
Three Sessions
      $_______
NYU CareerNet Package
      $_______
Center/Walk-ins Access Package
      $_______
Total Enclosed
      $_______

Make check payable to : NYU Career Development
We now accept Visa and Master Card

FEES ARE NON-REFUNDABLE AND SUBJECT TO CHANGE

OFFICE USE ONLY

Registration Date: ______________ Exp. Date: _____________ Received $___________ By: _________

Method of Payment: Check# ___________________ Money Order# __________________ VISA/MASTER CARD

Bulletins: 1)_______________________________________ Entry Date: _______________________ By: __________

                2)_______________________________________ Entry Date: _______________________ By: __________