Alumni Information Form

- Student Life

Thank you for taking the time to update your contact information. All personal information will be kept confidential. Be sure to share your latest news and achievements so we can recognize you in the next Viking Voice!

* indicates required field
The maximum number of form submissions has been reached. This form is currently not available.
- Personal Information
  
  Preferred Title REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Suffix Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Birthday (Month/Day) REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter valid data.
- Current Home Address
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Employment Information
  
  Employer Please enter valid data.
  
  Title Please enter valid data.
  
  Business Address Please enter valid data.
  
  Business Address 2 Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Code Please enter valid data.
- Graduate Information
  
  Grad Year REQUIRED Please fill out this field. Please enter valid data.
  
  Affiliations REQUIRED
  (List all - baseball, softball, volleyball, speech, forensics, etc)
  Please fill out this field.
- Spouse's Information
  
  First Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Birthday (Month/Day) Please enter valid data.
  
  Is Alum? Yes No
- If your spouse if an Alum, then please fill out the following portion of the form:
  
  Employer Please enter valid data.
  
  Title Please enter valid data.
  
  Business Address Please enter valid data.
  
  Business Address 2 Please enter valid data.
  
  Business City Please enter valid data.
  
  Business State
  
  Business Zip Code Please enter valid data.
  
  Business Phone Please enter valid data.
  
  Grad Year Please enter valid data.
  
  Affiliations
  (List all - baseball, basketball, volleyball, forensics, speech, etc)
- Miscellaneous Notes
  
  Please enter any information here
Submit