<script type="text/javascript" language="JavaScript"><!-- Begin
function checkFields() {
missinginfo = "";
if ((document.form.a_01_FirstName.value == "") || (document.form.a_01_FirstName.value == " First Name")){
missinginfo += "\n - First Name";
}
if ((document.form.a_02_LastName.value == "") || (document.form.a_02_LastName.value == " Last Name")){
missinginfo += "\n - Last Name";
}
if ((document.form.a_04_Address.value == "") || (document.form.a_04_Address.value == " Address")){
missinginfo += "\n - Address";
}
if ((document.form.a_05_City.value == "") || (document.form.a_05_City.value == " City")){
missinginfo += "\n - City";
}
if ((document.form.a_06_State.value == "") || (document.form.a_06_State.value == "State")){
missinginfo += "\n - State";
}
if ((document.form.a_07_Zip.value == "") || (document.form.a_07_Zip.value == " ZIP")){
missinginfo += "\n - ZIP";
}
if ((document.form.a_08_Country.value == "") || (document.form.a_08_Country.value == " Country")){
missinginfo += "\n - Country";
}
if ((document.form.a_09_Email.value == "") || (document.form.a_09_Email.value == " E-mail Address")){
missinginfo += "\n - E-mail Address";
}
if ((document.form.a_10_GraduationDate.value == "") || (document.form.a_10_GraduationDate.value == " Graduation Year")){
missinginfo += "\n - Graduation Year";
}
if ((document.form.a_11_UGDegree.value == "") || (document.form.a_11_UGDegree.value == " Undergraduate Degree at SIUE")){
missinginfo += "\n - Undergraduate Degree";
}
if ((document.form.a_13_Occupation.value == "") || (document.form.a_13_Occupation.value == " Occupation")){
missinginfo += "\n - Occupation";
}
if ((document.form.a_14_PhoneNumber.value == "") || (document.form.a_14_PhoneNumber.value == " Phone Number")){
missinginfo += "\n - Phone Number";
}
//if ((document.form.a_14_HighSchool1.value == "") || (document.form.a_14_HighSchool1.value == " First nearby high school")){
//missinginfo += "\n - Please list at least one nearby high school.";
//}
//if ((document.form.a_14_HighSchool2.value == "") || (document.form.a_14_HighSchool2.value == " Second nearby high school")){
//missinginfo += "\n - Second nearby high school";
//}
if (missinginfo != "") {
missinginfo ="\n" +
"There are some problems with your response to:\n" +
missinginfo + "\n" +
"\nPlease re-enter and re-submit the form. Thanks!";
alert(missinginfo);
return false;
}
else return true;
}
// End --></script>
<h2>Alumni Ambassadors</h2>
<h3>Sign up to become an SIUE Alumni Ambassador</h3>
<p>(If you're <strong>already an ambassador</strong>, use this form to update your information.)</p>
<p>Just select the text in the boxes and type the information. Click or tab to the next field.</p>
<form onsubmit="return checkFields();" name="form" action="http://www.siue.edu/cgi-bin/FormMail.pl" method="post">
<input name="recipient" type="hidden" value="tforys@siue.edu" /><input name="email" type="hidden" value="tforys@siue.edu" /><input name="subject" type="hidden" value="Alumni Ambassador Registration" /><input name="redirect" type="hidden" value="http://www.siue.edu/alumni/ambassadors/alumni_ambassadors_signup_thankyou.shtml" />
<p><input name="a_01_FirstName" maxlength="35" size="48" onkeypress="return handleEnter(this, event)" value=" First Name" onfocus="this.select()" id="a_01_FirstName" align="middle" /></p>
<p><input name="a_02_LastName" maxlength="35" size="48" onkeypress="return handleEnter(this, event)" value=" Last Name" onfocus="this.select()" id="a_02_LastName" align="middle" /></p>
<p><input name="a_04_Address" maxlength="45" size="48" onkeypress="return handleEnter(this, event)" value=" Address" onfocus="this.select()" id="a_04_Address" /></p>
<p><input name="a_05_City" maxlength="45" size="48" onkeypress="return handleEnter(this, event)" value=" City" onfocus="this.select()" id="a_05_City" /></p>
<p><select name="a_06_State" onkeypress="return handleEnter(this, event)" id="a_06_State"><option selected="selected">State </option> <option value="Alabama"> Alabama </option> <option value="Alaska"> Alaska </option> <option value="Arizona"> Arizona </option> <option value="Arkansas"> Arkansas </option> <option value="California"> California </option> <option value="Colorado"> Colorado </option> <option value="Connecticut"> Connecticut </option> <option value="Delaware"> Delaware </option> <option value="Florida"> Florida </option> <option value="Georgia"> Georgia </option> <option value="Hawaii"> Hawaii </option> <option value="Idaho"> Idaho </option> <option value="Illinois"> Illinois </option> <option value="Indiana"> Indiana </option> <option value="Iowa"> Iowa </option> <option value="Kansas"> Kansas </option> <option value="Kentucky"> Kentucky </option> <option value="Louisiana"> Louisiana </option> <option value="Maine"> Maine </option> <option value="Maryland"> Maryland </option> <option value="Massachusetts"> Massachusetts </option> <option value="Michigan"> Michigan </option> <option value="Minnesota"> Minnesota </option> <option value="Mississippi"> Mississippi </option> <option value="Missouri"> Missouri </option> <option value="Montana"> Montana </option> <option value="Nebraska"> Nebraska </option> <option value="Nevada"> Nevada </option> <option value="NewHampshire"> New Hampshire </option> <option value="NewJersey"> New Jersey </option> <option value="NewMexico"> New Mexico </option> <option value="NewYork"> New York </option> <option value="NorthCarolina"> North Carolina </option> <option value="NorthDakota"> North Dakota </option> <option value="Ohio"> Ohio </option> <option value="Oklahoma"> Oklahoma </option> <option value="Oregon"> Oregon </option> <option value="Pennsylvania"> Pennsylvania </option> <option value="RhodeIsland"> Rhode Island </option> <option value="SouthCarolina"> South Carolina </option> <option value="SouthDakota"> South Dakota </option> <option value="Tennessee"> Tennessee </option> <option value="Texas"> Texas </option> <option value="Utah"> Utah </option> <option value="Vermont"> Vermont </option> <option value="Virginia"> Virginia </option> <option value="Washington"> Washington </option> <option value="WashingtonDC"> Washington, D.C. </option> <option value="WestVirginia"> West Virgina </option> <option value="Wisconsin"> Wisconsin </option> <option value="Wyoming"> Wyoming </option> </select> <input name="a_07_Zip" maxlength="12" size="24" onkeypress="return handleEnter(this, event)" value=" ZIP" onfocus="boxFocused(this.name);" id="a_07_Zip" /></p>
<p><input name="a_08_Country" maxlength="42" size="48" onkeypress="return handleEnter(this, event)" value=" Country" onfocus="this.select()" id="a_08_Country" /></p>
<p><input name="a_09_Email" maxlength="42" size="48" onkeypress="return handleEnter(this, event)" value=" E-mail Address" onfocus="this.select()" id="a_09_Email" /></p>
<p><input name="a_10_GraduationDate" maxlength="42" size="48" onkeypress="return handleEnter(this, event)" value=" Graduation Year" onfocus="this.select()" id="a_10_GraduationDate" /></p>
<p><input name="a_11_UGDegree" maxlength="42" size="48" onkeypress="return handleEnter(this, event)" value=" Undergraduate Degree at SIUE" onfocus="this.select()" id="a_11_UGDegree" /></p>
<p><input name="a_12_GradDegree" maxlength="42" size="48" onkeypress="return handleEnter(this, event)" value=" Graduate Degree at SIUE - if applicable" onfocus="this.select()" id="a_12_GradDegree" /></p>
<p><input name="a_13_Occupation" maxlength="42" size="48" onkeypress="return handleEnter(this, event)" value=" Occupation" onfocus="this.select()" id="a_13_Occupation" /></p>
<p><input name="a_14_PhoneNumber" maxlength="42" size="48" onkeypress="return handleEnter(this, event)" value=" Phone Number" onfocus="this.select()" id="a_14_PhoneNumber" /></p>
<p><input name="a_14_HighSchool1" maxlength="48" size="48" onkeypress="return handleEnter(this, event)" value=" First nearby high school" onfocus="this.select()" id="a_14_HighSchool1" /></p>
<p><input name="a_14_HighSchool2" maxlength="48" size="48" onkeypress="return handleEnter(this, event)" value=" Second nearby high school" onfocus="this.select()" id="a_14_HighSchool2" /></p>
<p>I would be interested in volunteering for the following: (Check all that apply.)</p>
<table border="0" width="350">
<tr>
<td valign="top"><input name="a_1" type="checkbox" onkeypress="return handleEnter(this, event)" value="College Fairs" id="a_1" /></td>
<td></td>
<td valign="top">Representing SIUE at local college fairs.<br /> </td>
</tr>
<tr>
<td valign="top"><input name="a_2" type="checkbox" onkeypress="return handleEnter(this, event)" value="Phone calls and e-mails" id="a_2" /></td>
<td></td>
<td valign="top">Making congratulatory phone calls and/or sending e-mails to students.<br /> </td>
</tr>
<tr>
<td valign="top"><input name="a_3" type="checkbox" onkeypress="return handleEnter(this, event)" value="Chats" id="a_3" /></td>
<td></td>
<td valign="top">Participating in online chat sessions with prospective students.<br /> </td>
</tr>
<tr>
<td valign="top"><input name="a_4" type="checkbox" onkeypress="return handleEnter(this, event)" value="Information panels" id="a_4" /></td>
<td></td>
<td valign="top">Serving on informational panels during visit days or new student programs.<br /> </td>
</tr>
<tr>
<td valign="top"><input name="a_5" type="checkbox" onkeypress="return handleEnter(this, event)" value="Special Events" id="a_5" /></td>
<td></td>
<td valign="top">Assisting at special SIUevents such as Illinois State Fair booth.<br /> </td>
</tr>
<tr>
<td valign="top"><input name="a_6" type="checkbox" onkeypress="return handleEnter(this, event)" value="Present Scholarship" id="a_6" /></td>
<td></td>
<td valign="top">Presenting a scholarship on behalf of SIUE at my local high school</td>
</tr>
<tr>
<td valign="top"></td>
<td></td>
<td valign="top"></td>
</tr>
</table>
<p><input name="Submit" type="submit" value="Sign Me Up" /><br /> <span class="rtbodytext">(Please click once, then wait for the response.)</span></p>
<p><br /><br /> <input name="Reset1" type="reset" value="Reset Form" /></p>
</form>