Alumni Update Form

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Alumni Update Form

Dear Chemistry Alumni,

To help the Department of Chemistry at Millersville University keep up to date with alumni, we request you submit the following information:

Academic Information

Name Class Year MU Degree Post-Baccalaureate Degree Institution, year of graduation If other degree, please indicate Current Employer and Job Title

How can we reach you?

Email Street Address City State Country Zip Code Phone Send news about yourself that you would like to share with us

Add my name to the mailing list for the Alumni News Letter

Yes No

Interest in returning to campus to give a seminar

Yes No

Interest in homecoming reception

Yes No

Permission to share your information with University Advancement

Yes No

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Millersville University is an Affirmative Action/Equal Opportunity institution;
a member of the Pennsylvania State System of Higher Education

Millersville University
PO Box 1002
1 South George St.
Millersville, PA 17551

Phone Number (717) 872-3011

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