Alumni Contact Information Update Form | Alumni | University of Wisconsin-Green Bay

Alumni Contact Information

First name*

Middle initial*

Last name*

Name at graduation (if different)*

Grad year(s)*

List any clubs or sports you were a part of and playing years. (Enter NA if none)*

Preferred email address*

Phone number*

Home address*

Home city*

Home state or region*

Home zip code*

Home country*

Employment Information

Employer (Enter retired or not employed as needed)

Position/Title (Enter NA if none)

Work contact information (Phone/email. Enter NA if none)

Start date

Please provide any additional information you would like to share with us. (Marriage, Divorce, Children, Volunteer/Board Involvement, Awards, Other)

Other information

Publicizing the change in employment and additional information you provided. We are very proud of your accomplishments of our alumni, but we respect your privacy.

Yes, share this with my fellow alums.
No, please keep this between us.