Alumni contact info

Alumni updates

Name*

First Name

Last Name

Maiden name

Is this a notification of marriage?

Yes No

Please write your name as you would like us to use it in our communications.

(Examples: Susan Smith, Susan Doe-Smith, Susan Doe Smith)

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Mobile phone

Home phone

Email*

Name of spouse or partner

First Name

Initial (optional)

Last Name

Your Augustana graduation year*

Enter N/A if not applicable

Were you an international student?

Yes No

What is your home country?

Employer

Office phone

Employer address

Address Line 1

Address Line 2

City

State

ZIP Code

Job title

Do you have an additional degree beyond Augustana?

Yes No

Name of institution

Degree:

Year completed

Name of institution

Degree

Year completed

Do you have family members who have attended Augustana?

Yes No

If you have more Augustana connections than will fit in this form, we'd like to know! Please email alumni@augustana.edu

Name of Person 1

First Name

Last Name

Person 1's relationship to you:

Person 1's graduation year

Name of Person 2

First Name

Last Name

Person 2's relationship to you

Person 2's graduation year

Name of Person 3

First Name

Last Name

Person 3's relationship to you

Person 3's graduation year

Do you have a seasonal address?

Yes No

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Dates you are at this address:

Additional information you'd like to share?

Would you like to include a photo for Class Notes?

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