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Alumni Information Form

Keep in touch! You may use this information form to keep your Alumni Office records up to date. Let us know when you change your address, marry, receive a promotion, or want to report any other events or changes.

Your Information
Class Year
Graduation Name
Preferred First Name
Current Name
Birthday	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember , (Month Day, Year)
Home Address
Home Phone
Cell Phone
Employer
Position/Title
Work Address
Work Phone
Fax Number
E-mail
Family Information
Spouse's Name
Attended Luther	Yes No
Class Year or Years Attended
Wedding Date	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember , (Month Day, Year)
Spouse's Birthday	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember , (Month Day, Year)
Spouse's Employer
Spouse's Position/Title
Spouse's Education - University/Degree
Children	Names and Birthdays
Relatives who have attended Luther	Name, Relation, Year
Other Information	Other Degrees (School, Date, and Field), honors, awards, activities, etc...
Other Contact	Name and address of person (other than spouse) who will know my address
Don't forget to submit when you are finished!