Alumni Update Form

Fields marked with an asterisk (*) are required.

Name*   
Please type your name as you would like it to appear in print.
Mailing Address*
City*
State/Province*
ZIP/Postal code*
Home Phone:
Please enter with no spaces or dashes.
Home or Personal
E-Mail Address:
Work Mailing Address:
Work City:
State/Province:
ZIP/Postal Code:
Work Phone:
Please enter with no spaces or dashes.
Work or Business
E-Mail Address:
Job Title:

At NIU:

    1*.       Year*  

    2.         Year   

    3.         Year   

Other Institutions
(please specify the degree-granting institution in the last box on each of the following lines):

    1.         Year     

    2.         Year     

    3.         Year     

News about yourself and/or your family:

                          

Thanks for taking the time to let us hear from you!