Forms Manager

Bennie Business Registration Form

Thank you for your interest in being part of the Bennie Business Directory! Please complete the information below. On an annual basis, we will contact everyone on the directory to confirm that the information is still accurate. If you have questions about the Bennie Business Directory, please contact [email protected].

First Name:

Maiden Name:

Last Name:

Class Year:

Business name:

Business Industry (select one)

Business email:

Business website:

Business phone number:

Business City, State

Example: Minneapolis, MN

Business Country (if not in the United States)

Title:

Brief Business Description

I acknowledge that my name, company and contact information will be listed publicly online. I further acknowledge that by being listed on this directory that I may be contacted about job openings by current students and alums and/or be solicited by alumnae. I have the discretion to accept or decline job search assistance for or solicitations from these individuals.