Alumni Wings Personal InformationName* First Last Maiden name Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Primary PhoneSecondary PhonePrimary Email* Graduation Year* Degree* Advanced/Additional Degree Marital Status*Please select...SingleMarriedWidowedName of Spouse* Where have you wings taken you?What's new with you? Where have your wings taken you?*Provide a brief narrative of where your wings have taken you after your UMPI graduation. Please include a photo if you have one available. We may reach out to you to schedule a longer interview. You may also request we do so in the box above.Upload PhotoMax. file size: 8 MB.Can we use your story and photo?Clicking "I agree" below gives us permission to use your story.Consent* I agree to the Photo/Media Release as presented below.I, for myself, my heirs and assigns, hereby grant and authorize the University of Maine at Presque Isle ("UMPI"), a campus of the University of Maine System, the right to use, license or assign my image, voice and/or biographical material to publicize same, as recorded, photographed, taped and/or filmed for use in informational, promotional or commercial materials published by, or on behalf of UMPI or any of its constituent parts or affiliates in photographic, print, video, electronic, digital or any other medium now known or that may be invented in the future without limitation (hereinafter all of which are included in the term "Material"), and to do so with or without mention of my name, all in consideration of being included in the Material. UMPI shall have complete ownership of the Material and shall have the exclusive right to license and use the Material as UMPI wishes, in- eluding, but not limited to, the rights of copying, performance, display, reproduction, and distribution in all media, and the right to create, perform, display and distribute derivative works of the Material, for any purpose. I agree to indemnify, hold harmless and release UMPI, its faculty, employees, volunteers and agents, from and against any and all costs, claims, demands, actions or causes of action, on account of property damage or personal injury suffered by me, or property damage or personal injury of others caused by me, which may occur or result directly or indirectly from any matter or material furnished or spoken by me, or otherwise in connection with my appearance and/or the use of the Material, except to the extent those costs, claims, demands and actions or causes of action, are the direct result of any negligent act of UMPI, its faculty, employees, volunteers or agents. I request that this Release be construed and interpreted pursuant to the laws of the State of Maine, and if any portion thereof is held invalid, I request the remainder continue in full force and effect. / declare that I completely understand and have fully informed myself of the terms and conditions of this release by having read it, or having it read to me, before signing and I intend to be fully bound thereby.