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Alumni Information Update Form

This form will be used by the Office of Alumni Relations to update the alumni database and class notes for Profile magazine. If you experience any difficulties, you may send the relevant information in an e-mail message to suzanne.jackson@lrc.edu 

Current Name:

Prefix Select from drop-down menu
First
Middle/Maiden
Last
Class Year

The above information is needed to properly identify you for our records.
Please make entries in the following fields for information needing update:

Home (Mailing Address):

Address
City
State (2-digit)
Zip
E-mail
Phone #

Current Business Address:

Job Title:
Company/Business/School Name
Address
City
State (2-digit
Zip
Country
Business Phone #
Business Fax #

Marital Status:

Status:  
Spouse name:
Spouse LRC Class Year (if alum):

Class Notes:

For publication in Profile (weddings, births, deaths, promotions, honors and awards).

       

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