Alumni - What's New with You?
Prefix
First Name
Middle Initial
Last Name
E-mail
 
I would like to receive E-Newsletters from the Alumni Office
Can we include this e-mail in our Online Directory?
Your name while attending CUW (if different from above)
What's happening in your life?
Can we include this in our Alumni Magazine Concordian and on the News from Alumni page of the CUW website
Why did you visit the Alumni website?
Spouse's Information
Spouse's Prefix
Spouse's First Name
Spouse's Middle Initial
Spouse's Last Name
Spouse's E-mail
 
Is your spouse a CUW graduate?
Can we include this e-mail in our Online Directory? (Only if CUW graduate)
Spouse's name while attending CUW (if different from above)
Your Concordia - Subsequent Education Information
Degree Type (BS, MBA, etc) [1]
Year [1]
School (Nursing, Parish Music, etc) [1]
Degree Type (BS, MBA, etc) [2]
Year [2]
School (Nursing, Parish Music, etc) [2]
Degree Type (BS, MBA, etc) [3]
Year [3]
School (Nursing, Parish Music, etc) [3]
Home Address
Home Address1
Home Address2
Home City
Home State/Province
Home Zip/Postal Code
Home Country
Home Phone
Cell Phone
Work Information
Title
Organization
Work Address1
Work Address2
Work City
Work State/Province
Work Zip/Postal Code
Work Country
Work Phone
Work Fax
Perferred CUW Mailing Address:
If you have any images you like to include, please email them separately to Jennifer Duecker
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