Update Your Contact Information

Please use this electronic form to update your contact information. There is no need to complete the entire form; just select the areas that need to be updated. Note that the first four fields are required (for verification purposes). If you have any questions, please contact Jamie Myers, Director of Alumni Relations, at 443-334-2625 or email him at jmmeyers@stevenson.edu.

Name:
Name at SU:
Date of Birth:
Year of Graduation:

HOME ADDRESS UPDATE

Address:
City:
State:	Zipcode:
Country:
Home Phone:
Cell Phone:
Email Address:

I would like my Stevenson University mail to be sent to:
If you check business address, please complete the employment information update below.

My home address My business address

EMPLOYMENT INFORMATION UPDATE

Employer:
Address:
City:
State:	Zipcode:
Country:
Phone:
Fax:
Does your employer offer a matching gift program? Yes No Don't Know
Your Title:
Date Assumed:

Brief description of position:

Include employment updates in next issue of Ventures?

Yes No

MARITAL STATUS UPDATE

Status:

Single Partnered Married Widowed Divorced

Marriage Date:
Spouse's Name:
Spouse's Maiden Name:
Spouse's Preferred Title:	Mr. Mrs. Ms. Dr. Other:
Spouse's Nickname:

Children:
(Please list names and dates of birth)

My spouse/partner also attended Stevenson.

Yes No

If yes:

Continue mailing to each of us separately
When possible send a single mailing addressed to myself
When possible send a single mailing addressed to my spouse/partner

Include marriage and family updates in next issue of Ventures?

Yes No

EDUCATION UPDATES (from other institutions)

UNDERGRADUATE EDUCATION
Institution:
Degree:
Degree Year:
Major:
GRADUATE EDUCATION
Institution:
Degree:
Degree Year:
Major:

Include education updates in next issue of Ventures?

Yes No

ADDITIONAL CLASS NOTES (to be included in future publications)

Class Notes: