UIU Alumni Information Update

Keep us informed of where you are and how to keep in contact with you! Submit your current information below.

* denotes required field

*First Name
*Last Name
Maiden Name (if applicable)
*Grad Year(s)
Preferred Email*
Home Phone Number
Cell Phone Number
Mailing Address (P.O. Box or Street)
City
State
ZIP
Country
Job Title
Employer
Is your employer a matching gift company?	Yes    No
Employer Address
Employer City, State, ZIP
Spouse Name/Anniversary Date
Child(ren) Name(s)/Birth date(s)

Information to include for Class Notes in The Bridge (personal or professional news you wish to share with the UIU family):