Alumni Contact Information Alumnus Information Question Title * 1. Name First: Middle: Last: Preferred Name/Nickname Question Title * 2. Address Address: Address 2: City/Town: State: Zip: Country: Question Title * 3. Phone Number(s) ###-###-#### Alumni's Home: Alumni's Cell: Question Title * 4. Preferred Number: Cell Home Question Title * 5. E-mail: Question Title * 6. May we email you information about upcoming events? Yes No Question Title * 7. Date of Birth: Date Date Question Title * 8. What is your race / ethnicity? (Please select all that apply.) American Indian or Alaskan Native Asian or Pacific Islander Black or African American Hispanic or Latino White / Caucasian Prefer not to answer Other (please specify) Next