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Class Notes

Recently get a promotion? Have a new child? Win an award in your community or profession? Share your story with fellow alumni by submitting your class note. Selected class notes will be edited for content and length and placed in the new, reformatted Southeast Missouri State University Magazine for alumni and friends.


Personal Information
First Name Middle Name
Last Name Former Name
Date of Birth Gender
Marital Status Date of Marriage
Address   City     State    Zip 
Phone Fax   E-mail   

Class Notes:


Your Employer Information (optional)
Company Job Title
Address City St Zip
Phone Fax Email

Your Spouse's Information (optional)
First Name Middle Name
Last Name Former Name

Spouse's Southeast Degree Information
Year Degree Major

Spouse's Employer Information(optional)
Company Job Title
Address City State Zip
Phone Fax Email

Children
Child's Full Name Date of Birth

Your Southeast Degree Information
Year Degree Major

Your Organizational Affiliation at Southeast

Please list the names and addresses of two people from whom your address may 

always be obtained.

Name
Address
City
State
Zip
Phone
 
Name
Address
City
State
Zip
Phone

I would like information on the following: 
Alumni Membership Booster Endowments KRCU
Scholarships Wills/Estate planning

Alumni Activities

Please indicate your interest in assisting and supporting the following programs and activities:

1 = Very interested;  2 = Somewhat interested;  3 = No interest
Alumni Chapters Alumni Events Alumni Reunions Homecoming
Student Recruitment

Alumni Gatherings
  I am interested in planning or helping to plan alumni gatherings.
 
            




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