Faculty and Staff Information

This information will be used to invite faculty and staff to alumni events. Please give as much information as possible.


  1. Who is submitting information?


  1. Your email address


  1. First Name


  1. Last Name


  1. For females, give maiden name.


  1. Street Address or PO Box


  1. City


  1. State


  1. Zip Code


  1. Phone Number


  1. This is a phone.


  1. Email Address


  1. This email address is at .


  1. Years on staff


  1. Department or job title


  1. Additional Information