Alumni Database Information

Alumni Database Information

Please complete this form to be added to our Alumni Database and receive our bi-annual Newman Now publication.
Name*

First NameLast Name
Maiden Name
Address*

Street Address

Street Address Line 2

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Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
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Please select how you would like to receive The Newman Now and other alumni publications!*

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My Newman connection*

AlumniParent of AlumniBenefactorOther
NIU Graduation Year
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