Alumni Affairs

Main Content

Update Your Contact Information

The Office of Alumni Affairs is dedicated to keeping you connected to UMMC. Make sure you don't miss a moment - tell us if you've moved or changed your email so we can keep in touch!

 

Update Your Contact Information

Personal Information

Title:
First Name:*
 
Preferred Name/Nickname:
Last Name:*
 
Maiden Name (if applicable):
Home Address:*
 
City:*
 
State:*
 
Zip:*
-  
Preferred Phone Number:*
() -    
Alternate Phone Number:
() -
Preferred Email:*
 
Alternate Email:
Spouse Name:

Business Information

Employer:
Title:
Address:
City:
State:
Zip:
-
Phone:
() -
Fax:
() -

Academic Information

Undergraduate College/University:
Undergraduate Degree:
 
Graduation Year:
  
 
Primary UMMC School:*
Primary Level of Degree:
Primary Program:
Primary Graduation Year:*
  
 
Did you acquire an additional UMMC Degree?

Additional UMMC School:
Additional Level of Degree:
Additional Program:
Additional Graduation Year:
 
 
Did you acquire an additional UMMC Degree?

Additional UMMC School:
Additional Level of Degree:
Additional Program:
Additional Graduation Year:
 
 
Have you completed a residency?

Residency School/Institution:
Residency School:
Year Residency Completed: