YSU Alumni Update Form

Personal Information

First Name *

Middle Name

Last Name *

Maiden Name

Address *

City *

State

Zip Code *

Country *

E-mail Address *

Phone Number

Spouse/Partner Name

Spouse/Partner Maiden Name

Year of Graduation *

YSU Alumni Connect

I have relocated and would like to take advantage of YSU Alumni Connect! Please have a YSU alum liaison who resides in the area to which I have moved contact me, and help me get acclimated in my new area!

Business Information

Place of Employment

Title

Address

City

State

Zip Code

Country

Phone Number

Please keep us informed when you have moved or changed employment. Feel free to mail additional news for inclusion in alumni publications. Send or E-mail to Pamela Balent.

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