Alumni Address Update Form

Have you changed jobs recently? Been promoted or relocated? Received any awards? Also, if you know where any fellow alumni are located (address, telephone numbers) please include this information so we can send them newsletters, invitations to alumni events, etc.

Personal Information
First Name:
Last (Family) Name:
Street/PO Box:
City:
State/Province:
Zip/Postal Code:
Country:
E-mail Address:
Phone Number:
Spouse's Name:
Degree(s) Earned:
Year(s) Earned:
Department:
Employer Information
Title:
Company Name:
Address:
City:
State:
Zip:
Phone Number:
Other Questions
Do you receive Engineering WV Magazine?	Yes No
Do you receive your department's newsletter?	Yes No
Exciting news you'd like to share
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