Stay Connected CNSM

Update your contact information so that we can keep you informed about College activities.

Name * Title First Last Suffix
Name on Academic Records (if different) Title First Last Suffix
Home Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone
Preferred Email
Do you have a personal web site?
Academic Information
Please check all that apply: Graduate Alumnus - non-grad Parent of UCA Student Faculty/Staff
Degree(s)
Major(s)
Minor
Year of Graduation
Activities during college (Clubs, Sports, Organizations, Etc...)
Other degrees or credentials
Professional Information
Company Name
Title
Business Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Business Phone
Business FAX
Business Webpage
Preferred Contact Address Home Business
Spouse/Partner Information
Relation to First Member
Last Name
First Name, M.I.
Name on Academic Records (if different)
Academic Information (spouse/partner)
Please check all that apply: Graduate Alumnus - non-grad Parent of UCA Student Faculty/Staff
If your spouse/partner is a graduate, or attended UCA, please list:
Degree
Major(s)
Year of Graduation
Other degrees or credentials
Activities during college (Clubs, Sports, Organizations, Etc...)
Professional Information (spouse/partner)
Company Name
Title
Business Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Business Phone
Business FAX
Business Web Page
Preferred Contact Address Home Business
Additional Information
Let us know about your recent personal or career accomplishments.
Other Comments:
This alumni update form was completed by: (required) *
Notes and Instructions
Notes and Instructions * Please include my career or personal accomplishments information in the College newsletter or on the College Web page (space permitting). Please do not include any of my information in any university publications or Web sites.
Please press the "Submit" button only once and wait for the confirmation screen to appear (this may take a few minutes).

Stay Connected CNSM

Stay Connected CNSM

Academic Information

Professional Information

Spouse/Partner Information

Academic Information (spouse/partner)

If your spouse/partner is a graduate, or attended UCA, please list:

Professional Information (spouse/partner)

Additional Information

Notes and Instructions

Please press the "Submit" button only once and wait for the confirmation screen to appear (this may take a few minutes).