Alumni Contact Update Form

Full Name *(include maiden name if applicable)

Mailing Address *

City, State and Zip *

Home Phone Number *

Cell Phone Number *

Email Address *

Graduation Year (or Exit Year) *

Which Campus Did You Attend? *

Extracurricular ActivitiesPlease indicate what activities you were involved in while at WBU; ie, athletics, clubs, and organizations.

Spouse's Name *

Is Spouse a WBU Grad? *

Yes

No

Occupation and Employer *

Classnotes *Updates for Classnotes in the magazine (move, new job, new marriage or baby, other news?) Please include the names and full birthdates of your children so we can keep in touch with them as well!

I would like to receive the monthly alumni email newsletter with feature stories and event updates. *

Yes

No

(We do not share your email with anyone outside the university except current partners.)

I would like to receive the "We are Wayland" alumni magazine by: *

Mail

Email

I would be interested in being part of a WBU alumni chapter in my area. *

Yes

No

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