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Alumni & Friends

Alumni Update Form

We invite all Salem State Alumni who visit this site to fill out the following information, which will be compiled and added to our databases. With your permission, we will also include you in our Online Database of Alumni through the Decades.

So scroll down and fill in the blanks! We are not "requiring" you to fill out all of the choices, but we really would appreciate it if you did. Thanks for taking the time to keep us informed!

If you have any problems or questions with this form, please email alumni@salemstate.edu

Alumni Update Form

Name


(First Name)	(M.I.)	(Last Name)

Has your name changed since you attended SSU?

Year of Graduation

Major

List any groups, clubs, or sports that you were involved in

List any residence halls you lived in

Current Permanent Address (US)


(Street Address Line 1)

(Street Address Line 2)

(City)	(State)	(Zip Code)

International Address

Seasonal Address, if applicable


(Street Address Line 1)

(Street Address Line 2)

(City)	(State)	(Zip Code)

Home Phone Number

Mobile Phone Number

Check here if you give us permission to text message you at this number

Email Address

Check here if you wish to be included in our online email directory

Other Educational Institutions Attended

Degree Earned

Veteran

Yes

Occupational Information

Employer

Job Title

Work Phone Number

Business Address


(Street Address Line 1)

(Street Address Line 2)

(City)	(State)	(Zip Code)

Spouse Information

Name


(First Name)	(M.I.)	(Last Name)

Employer

Job Title

Educational Institution

Alumni & Friends

Alumni Update Form

Any exciting changes in your life? New home, new job, marriage, new baby; we want to know! Please add a class note in the box below.

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