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Alumni Update Form

Stay in touch with CSU, Chico by keeping your address and personal information updated. If you have any questions about this form, please call us at 530-898-5297 or e-mail us at csuchicoupdate@csuchico.edu.

Current Information

Prefix:

First Name:

Middle Name:

Last Name:

Preferred First Name:

Name on Student Records or Maiden Name (if different):

Home Address:
City: State: Zip Code:

Country (if not US):

Home Phone:
Other Phone (ex. Mobile):

Preferred Email:

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:

Graduate
Alumnus - Non-Grad
Parent of CSU, Chico Student
Faculty/Staff
Faculty/Staff (Retired)
Friend

If you are a graduate, or attended CSU, Chico, please list your:

Years Attended:

Degree:

Major:

Minor/Option:

Year of Graduation:

Other Degrees or Credentials:

Activities during college (Sports, Clubs, Organizations, etc...):

Professional Information

Company Name:

Title:

Business Address:
City: State: Zip Code:

Country (if not US):

Business Phone:

Business Fax:

Business E-mail:

Preferred Contact Address
Home Business

Spouse/Partner Information

Relation to First Member:

Prefix:

First Name:

Middle Name:

Last Name:

Name on Student Records or Maiden Name (if different):

Academic Information (Spouse/Partner)

Please check all that apply:

Graduate
Alumnus - Non-Grad
Parent of CSU, Chico Student
Faculty/Staff
Faculty/Staff (Retired)
Friend

If you are a graduate, or attended CSU, Chico, please list your:"

Years Attended:

Degree:

Major:

Minor/Option:

Year of Graduation:

Other Degrees or Credentials:

Activities during college (Sports, Clubs, Organizations, etc...):

Professional Information (Spouse/Partner)

Company Name:

Title:

Business Address:
City: State: Zip Code:

Country (if not US):

Business Phone:

Business Fax:

Business E-mail:

Preferred Contact Address
Home Business

Additional Information

Let us know about your recent personal accomplishments:

Other Comments:

Notes and Instructions Please do not include any of my information in any university publications or websites.
Please include my career or personal accomplishments information in the "Wildcats on the Move" section of Chico Statements magazine (space permitting).