Notify MSJ About a Deceased Alumnus
Name of Deceased Alumnus
*
First Name
Last Name
Class Year of Deceased Alumnus
*
Date of Alumnus' Death
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments and/or Link to Obituary
Name of Person Submitting Information
*
First Name
Last Name
Relationship to Deceased Alumnus
*
Parent
Child
Grandchild
Sibling
Other Relative
Friend
Email of Person Submitting Information
*
example@example.com
Phone Number of Person Submitting Information
*
-
Area Code
Phone Number
Submit
Should be Empty: