LCM Alumni & Friends Update Form

LCM Alumni & Friends Update Form

Have you changed your phone number, updated your email, or recently moved? If so, please fill out the information below. We would love to keep in touch!
Full Name*

First NameLast Name
Also Known As (if applicable)
ie: nicknames, former, maiden or birth name.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
E-mail
example@example.com
Cell Number
Home Number
School (if currently attending)
UW-Madison degree, graduation year
Other College/university, degree, graduation year
Current occupation
Is your spouse or partner LCM-Madison Alum too?
Spouse/Partner Name

First NameLast Name
Spouse/Partner Also Known As (if applicable)
ie: nicknames, former, maiden or birth name.
Spouse/Partner Email
example@example.com
Spouse/Partner College/university, degree, graduation year
News you'd like to share with the community
Including info here or a photo below consents to it's use on publicity including social, web, and print media.
Add Photo

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Anything else you'd like to share? Any questions you have?
Should be Empty: