MSOE Alumni and Friends Update Form

Stay Connected with the MSOE Community!

MSOE faculty, staff, and students value lifelong relationships with the university's many alumni and friends. Please take a quick moment to update your contact information below and – if you wish – submit employment, marriage, or other news for Class Notes (bottom of form) appearing in MSOE publications.
Contact Information
Name:*

First NameLast Name
Maiden Name:
MSOE ID# (if known / available):
Preferred Email:*
Preferred Phone:

Area CodePhone Number
Phone Type:

Home MobileHome LandlineBusiness
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I Wish to Provide a Second Residence...

NoYes
Second Residence:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
MSOE Degree & Year (to help us find your record):
Employment Information
Company Name:
Job Title:
Work Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Work Phone:

Area CodePhone Number
Work email:
example@example.com
Employer Website:
If new employment/position, would you like this update considered for publication in Class Notes?

YesNo
Family Information
Spouse Name:

First NameLast Name
Spouse Employer & Job Title:
Children:
Grandchildren:
Interests and Accomplishments
Interests and Hobbies:
Publications, Patents, or Research:
Degrees after MSOE:
Other Accomplishments:
Information for Class Notes

MSOE features alumni employment updates, honors, awards, marriages, and other major accomplishments in publications such as Dimensions magazine. News shared below will be reviewed for potential publication.
Class Notes News:
Please re-type the word shown:*
Registration Date:

MonthDayYear
Should be Empty:

Contact Information

Employment Information

Family Information

Interests and Accomplishments

Information for Class Notes