SIU Law Alumni Contact Information Update Form
Full Name:
*
First Name
Last Name
Maiden or Former Name (name while at SIU Law):
First Name
Last Name
Class of:
*
E-mail:
*
Home Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Retired:
Yes
No
Phone Number:
Format: (000) 000-0000.
Employer Name:
Job Title:
*
Practice / Focus Area:
Interested in learning more about how you can support the Law School?
*
Yes, I am interested in learning more about giving opportunities.
Yes, I am interested in learning more about volunteer opportunities.
No, not at this time.
Is there anything else you want to update us on?
Suggestions of alumni events you would like to attend:
Submit
Should be Empty: