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
Please select
Yes
No
Can we include this e-mail in our Online Directory?
Please select
Yes
No
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
Please select
Yes
No
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?
Please select
Yes
No
Can we include this e-mail in our Online Directory? (Only if CUW graduate)
Please select
Yes
No
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:
Please select
Home
Work
If you have any images you like to include, please email them separately to
Jennifer Duecker
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