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Alumni Information Update
Alumni Information Update Form
This alumni update is being completed for:
PSU Alumni
Deceased Alumni
Deceased Date (mm/dd/yyyy)
Degree Information
Last (current)
(
required
)
First
(
required
)
Middle
(
required
)
Maiden Name
Preferred Name
Former Last Name(s)
Birthdate
(
verification purpose only - optional
)
mm/dd/yyyy
Name at time of Graduation
Class Year
Fall Semester
Spring Semester
Degree Received
Major Department
Minor Received (if any)
Is spouse/partner a PSU Alumni?
Yes
No
Spouse/Partner's Name at time of Graduation
Spouse/Partner's Class Year
Fall Semester
Spring Semester
Spouse/Partner's Degree Received
Spouse/Partner's Major Department
Contact Information and Comments
Home Phone
Home Fax
Personal Email
Home Street Address
Home City
Home State
Home Zip
Please list any news about yourself or other PSU graduates such as promotions, recognitions, weddings, births, deaths, other degrees received (degree date, institution, degree earned), etc.
Enter any additional comments in the space below
Business Information
Job Title, Position or Occupation (indicate if retired)
Business Name
Business Phone
Business Fax
Email (business)
Business Street Address
Business City
Business State
Business Zip
Current Income
(
optional
)
Under $25,000
$45,001 to $55,000
$25,001 to $35,000
$55,001 to $100,000
$35,001 to $45,000
Over $100,000
There may be employment opportunities and/or internships available with this company.
YES
NO
Contact Person
Contact's Title/Department
Contact's Phone (if known)