Alumni Update Form

Use this form as an easy way to update your alumni record, such as a new address or e-mail as well as career, family and education updates. You can also indicate that you would like to have information included in "Class Notes" in the Truman Review.

NOTE: Submitting information via this form will not update your alumni profile in the TruView for Bulldogs Online Alumni Directory. For information on the Online Alumni Directory, visit http://alumni.truman.edu/Directory.asp

First Name:
Middle Name:
Last Name:
Title:
Maiden Name:
Date of Birth:
Are you a Northeast/Truman graduate or attendee?	Yes, graduation year/s or years attended No

Are you married?	Yes No	Do you wish to receive mailings with your partner or significant other?	Yes No
Spouse's First Name:		Partner's First Name:
Spouse's Middle Name:		Partner's Middle Name:
Spouse's Last Name:		Partner's Last Name:
Spouse's Title:		Partner's Title:
Spouse's Maiden Name:		Partner's Maiden Name:
Spouse's Date of Birth:		Partner's Date of Birth:
Is Spouse a Northeast/Truman graduate or attendee? Yes graduation year/s or years attended No		Is Partner a Northeast/Truman graduate or attendee? Yes graduation year/s or years attended No

Home Address
Street or P.O. Box:
City:
State and ZIP:	Country:
Home Phone (including area code):
Cell Phone:
E-mail Address:	Do you want your e-mail address printed in theTruman Review? Yes No Do you want to be placed on the mailing list for free e-mail newsletters from Truman? Yes No
	In order to help us differentiate alumni with similar names, we ask for your social security number. This is a secure server, and this information will ONLY be used for this purpose. SSN: Spouse or Partner's SSN:

Degrees from Other Institutions:
Degree/Institution/Year:
Degree/Institution/Year:

Employment Information
Current employer:
Position:
Street address:
City:
State and ZIP:	Country:
Work Phone:
Work Email:

Spouse or Partner's Employment Information
Current employer:
Position:
Street address:
City:
State and ZIP:	Country:
Work Phone:
Work Email:

Children

Name: Date of Birth: Male Female
Name: Date of Birth: Male Female
Name: Date of Birth: Male Female
Name: Date of Birth: Male Female
Name: Date of Birth: Male Female
If you have more than 5 children, please enter the information in the 'Other Information' box.

Other Information
Please use the following box to provide any
other information you would like added to your alumni record.

May the above information be used in the Truman Review? Yes No

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