MIT Educational Council: Becoming an EC: Sign-up Form

(note: filling out this form does not automatically add you to our database. Instead, it simply sends an email to the EC Office containing all the information we need to determine which area Regional Chair to connect you with.)

EC Sign-up Form

MIT alumni/ae who are interested in interviewing freshman applicants to MIT and would like to join the Educational Council should complete the following form. Once this information is received by the EC Office, a confirmation will be returned to you via regular mail or email notifying you of the Regional Chair in your area. You should then contact the Regional Chair to determine whether your local region is accepting new Educational Counselors.

required fields

Name

Course (1, 6, etc.)

Degree(s) (SB, SM, etc.)

Graduation Year

Home Address
(please include entire address)

Home Phone
(with area code)

Home E-mail Address

Professional Activity

Company Name

Business Address
(please include entire address)

Office Phone
(with area code)

Extension

Fax

Work E-mail Address

Gender

	Female
	Male

Preferred mailing address

	Home
	Business

Preferred address to show to applicants

	Home
	Business

Preferred phone number to show to applicants

	Home
	Business

Preferred email address

	Home
	Business

Please indicate if you consider yourself to belong to any of the following minority groups
(optional)

	African American
	Mexican American
	Native American
	Puerto Rican

This information will be helpful for us if special programs are planned for minorities in your area and in responding to individuals who wish to speak with a minority alum. We will leave it up to you to discuss directly with your Regional Chairperson if you wish to be assigned schools with a large minority population.

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These pages are maintained
by the EC Office.

MIT Educational Council
Massachusetts Institute of Technology
77 Massachusetts Ave., Room 3-111
Cambridge, MA 02139-4307

Telephone: 617.253.3354
Fax: 617.507.9173
Email: ecquestions@mit.edu