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My Information

First Name *

Last Name *

Nickname

Home Address *

City *

State *

Zip *

Home Telephone *

Email *

Seasonal Address (to/from dates)

My Education

Degree/Major *

Graduation Year - (YYYY) *

Advanced College(s)/Degree(s)/Major(s)/Year(s)

College/University

Business Phone

My Employment

Occupation/Title

Company/Organization Name

Business Address

City

State

Zip

Status of Employment

Full Time

Part Time

Retired?

Yes

No

Professional Achievements (Awards/Publications/Community Service)

Is it OK to publish new employment and achievement information in the Saint Rose Magazine?

Yes

No

Additional Information

Date of Marital Change - (MM/DD/YYYY)

Spouse/Domestic Partner's Full Name

Spouse/Partner's Employment

Is Spouse/Partner a Saint Rose graduate?

Yes

No

Children's Name(s) & Birthdate(s)

List of relatives who are alumna/us of Saint Rose

Please check any items that you are interested in

Serving as a panelist or featured speaker on campus

Being featured in a future Saint Rose publication

Receiving important College news

Participating in Admissions activities

Helping to develop/participate in a Regional Alumni Club

Learning more about the Career Advisory Network (Career Center)