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Update Alumni Record

Longwood University Alumni Records Change Form

(* indicates a required field.)

Check if:
New Address
New Marriage
New Business Information

Personal Information

Prefix:

First Name: *

Middle Name:

Maiden Name:

Last Name: *

Suffix:

Year of Graduation:

Preferred Class Year:

Home Address:

Street:

City: State: Zip code:

Landline (Including Area Code): Preferred Phone Contact

Cell (Including Area Code): Preferred Phone Contact

Preferred E-mail Address: *

I give Longwood University permission to text updates, event notices, and other information to my cell phone Yes No

Business Information

Job Title:

Employer:

Business Address:

Street:

City: State: Zip code:

Business Phone(Including Area Code):

Spouse Information

Spouse's Name: My Spouse is an Alum

Spouse's Employment:

Achievements/Awards/Other Notes of Interest