The College at Brockport: Alumni Update Your Info Form

The Office of Alumni Relations and Development would like to have your updated information for programming and communication purposes. Please fill out the following fields so we can better program and communicate with you.

First Name:
Nickname:
Maiden Name:
Last Name:
Class Year 1:
Class Year 2:
Preferred Email:
Address 1:
Address 2:
City:
State:
Zip:
Preferred Phone Number:
Company Name:
Job Title:
Business Address:
Business Address 2:
Business City:
Business State:
Business Zip:
Business Email:
Business Phone:
Company Website:
Graduate School or University:
Degree earned:
What clubs and organizations were you active as a student at Brockport?
Status:
Date of Marriage/Union:
Spouse/Partner First Name:
Spouse/Partner Nickname:
Spouse/Partner Middle Name:
Spouse/Partner Last Name:
Spouse/Partner Occupation:
Spouse/Partner College/University:
Spouse/Partner Brockport Class Year (if applicable):
Class Notes is your opportunity to share your stories. Send us news and updates about your life and career, including marraiges/unions, birth announcements, and accomplishments.
Upload a file or photo:
maximum 5 files whose total size may not be more than 10MB
filenames should not contain more than one period (.)