Current Information
Prefix
First Name
Middle Name
Last Name
Preferred First Name
Name on Student Records
Home Address
City, State
Zip Code
Country (if not US)
Home Phone
Other Phone (ex. mobile)
Preferred E-Mail
Previous Address
City, State
Zip Code
The information
on this form is kept confidential for CSU, Chico use only.
Academic Information
Please check all that apply:
Years Attended
Degree
Major
Minor/Option
Year of Graduation
Other degrees or credentials
Activities during college
Professional Information
Company Name
Title
Business Address
City, State
Zip Code
Country (if not US)
Business Phone
Business Fax
Business Email
Preferred Contact Address
Spouse/Partner Information
Relation to First Member
Prefix
First Name
Middle Name
Last Name
Name on Student Records
Academic Information (spouse/partner)
Please check all that apply:
Years Attended
Degree
Major
Minor/Option
Year of Graduation
Other degrees or credentials
Activities during college
Professional Information (spouse/partner)
Company Name
Title
Business Address
City, State
Zip Code
Country (if not US)
Business Phone
Business Fax
Business Email
Preferred Contact Address
Additional Information Let us know about your recent personal or career accomplishments: Other Comments: This alumni update form was completed by: Notes and Instructions
privacy policy .
