Alumni Update Form

Contact Info

Name: *

First

Name:

Middle

Name: *

Last

Name:

Suffix

Class Year:

Use the year you identify with

Major(s):

Maiden Name:

Nickname:

Birth Date: *

Title:

Mr., Ms., Dr., Mrs.

Email Address:

Enter Email

Confirm Email Address:

Confirm email address

Alternate Email:

Enter Email

Home Address:

Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Country

Home Phone:

Cell Phone:

Seasonal Address (if you regularly use a season address, enter here):

Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Country

Seasonal Phone:

Seasonal Dates:

From (ex. 07/01)

Seasonal Dates:

To (ex. 08/21)

Business Info

Company Name:

Position:

Business Address:

Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Country

Business Email:

Business Phone:

Family Info

Spouse Name:

If married

Spouse Class:

If alum

Children:

Names and ages

Relative(s) Who Attended PSC:

Name, relationship to you, class year

Historical Info

Are You a Veteran?

Yes

Branch:

Years of Service:

While Attending PSC:

Student Clubs:

Athletics:

Greek Organizations:

Honors Received:

School(s) Attended Other Than PSC:

News

Share Your News:

Birth, wedding, awards, promotion, new job – for possible publication in Class Notes of the Sequel

Interests

I am Interested in Participating in the Following Activities:

Alumni athletic events (basketball, soccer, rugby, etc.)

Help with Alumni events (i.e. Sugarbush Breakfast)

Serve on the Alumni Council

Share your expertise (class speaker, visits, mentor, etc.)

Sponsor or host an alumni event in my area

Become a class rep (phone, email, your classmates with upcoming events, news, initiatives)

Offer student employment opportunities

Philanthropic opportunities

OtherOther

Check all that apply

If you are human, leave this field blank.

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