usa.gif (956 bytes)Alumni Office Information Request Form

Tell us where you are, and how you are, and what you've been up to.  Fill out the form below, click the SUBMIT button, and 'send' it in.  Use the TAB key to move from one field to the next.  To contact the Radford University Office of Alumni Relations, call (540) 831-5248, or toll free by dialing 1-888-4RUGRAD.  The e-mail address is alumni@radford.edu.

PERSONAL INFORMATION

Maiden
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone (999) 999-9999
Birthdate    mm/dd/yyyy
Year Graduated
Degree Earned
Major
E-mail
E-mail 2
Personal Web Site

CAREER INFORMATION

Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone (999) 999-9999
FAX (999) 999-9999
Business Web Site / Blog

FAMILY INFORMATION

Is your spouse an RU graduate? If so, please list year graduated from RU and major along with his or her name and other pertinent information below:

Spouse's Name
Maiden Name
Year Spouse Graduated
from RU 		   (yyyy)
Major
Children's
Names/Birthdates		 mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy

ADDITIONAL DEGREE INFORMATION

Other Degree Received   
Name of Institution   
Other Degree Received   
Name of Institution   

TELL US MORE

 

 
 

 
 

 

Class Notes


 

 

Samples:

  • Position – John J. Smith, Radford, VA, teacher at Doe Elementary.
  • Wedding – Jane Doe Smith to John Smith, 3/5/08 (date of wedding).
  • Birth/Adoption - John and Jane Doe Smith announce the birth/adoption of Ann Marie, 04/11/07 (date of birth/adoption).
  • Obituary – John Joe Smith of Radford, VA, 12/24/06 (date of death).

 

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Copyright Radford University 1999.
Last revised: 6/10/2008