Database Submission Form

Your Name
Your preferred E-mail address
Year you graduated Chico State
City you currently reside in
Company/Organization you work for
Any Degrees- include year, type (BS, BA, MA, MS,
etc), school (i.e. Chico State), and any minors

Bio (this can include whatever you would like
such as where you are working now, any previous jobs)

How you use your Instructional Design skills in
your current job or daily life?

Optional-any links you would like included (i.e.
personal website, company you work for)

We would also love to have a picture of you. E-mail it to