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Change Alumni Information

To ensure that you receive our alumni magazines and invitations, as well as to report any deceased relatives, please fill in the form below.

If you are reporting a death, please click here to skip to the bottom section of this form.

Your Name:

  
Preferred Title:
*First Name:
Middle Name:
*Last Name:
 (suffix)
Maiden Name:
Date of Birth:
  *E-mail:
  Alternate E-mail:
   

Spouse:

  
Preferred Title:
First Name:
Middle Name:
Last Name:
   

Home Address:
Street:
Apt/Unit
City:
 
 
Zip/Postal Code:
Phone:
Cell Phone:
   

Business Address:
Name of Company
Position or Title within the Company
Street:


City:
 
 
Zip/Postal Code:
Phone:
FAX:
My preference to receive mail information to my:
Home Address
Work Address


If reporting a death:
Date of Death:

Name of Deceased:

Date of Birth: Your Name:
    Phone Number:

Education

  
Year of Graduation:
Degree:
School/College

Reason for Record Change

Comments:

*required