The information collected via this form is for database and Alumni Association use. Personal Information First name Required Last name Required Maiden name Please submit news about yourself for publication in the Wright State Magazine: (For example: new job, a promotion, finished an advanced degree, got married, had a baby, etc.) Current Contact Information Street address City State Zip Phone Email Email notifications I’d like to receive Alumni Insider, Wright State’s monthly alumni e-Newsletter I’d like to receive alumni event notifications from Wright State I’d like to receive athletics updates and news Professional Information Employer Title Address Address 2 City State Zip Phone Ext Email Education Information Wright State graduation year Degree Major Advanced Degree Information Graduation year Degree Major University (if other than Wright State) Spouse Information Marital status - None -SingleDomestic partnershipMarriedDivorcedWidowed First name Last name Maiden name Number of children Children's names and ages If your children are WSU alumni or current students, please list their grad year or anticipated grad year. Did your spouse graduate from Wright State? Yes No Graduation year Degree Major
Personal Information First name Required Last name Required Maiden name Please submit news about yourself for publication in the Wright State Magazine: (For example: new job, a promotion, finished an advanced degree, got married, had a baby, etc.) Current Contact Information Street address City State Zip Phone Email Email notifications I’d like to receive Alumni Insider, Wright State’s monthly alumni e-Newsletter I’d like to receive alumni event notifications from Wright State I’d like to receive athletics updates and news Professional Information Employer Title Address Address 2 City State Zip Phone Ext Email Education Information Wright State graduation year Degree Major Advanced Degree Information Graduation year Degree Major University (if other than Wright State) Spouse Information Marital status - None -SingleDomestic partnershipMarriedDivorcedWidowed First name Last name Maiden name Number of children Children's names and ages If your children are WSU alumni or current students, please list their grad year or anticipated grad year. Did your spouse graduate from Wright State? Yes No Graduation year Degree Major
