Alumni Update Form

Dear Chemistry Alumni,

To help the Department of Chemistry at Millersville University keep up to date with alumni, we request you submit the following information:

* - denotes a required field

Academic Information Name *
Class Year *
MU Degree *
Post-Baccalaureate Degree *
Institution, year of graduation
If other degree, please indicate
Current Employer and Job Title *

How can we reach you? Email *
Street Address *
City *
State *
Country *
Zip Code *
Phone
Send news about yourself that you would like to share with us

Add my name to the mailing list for the Alumni News Letter

Yes

Interest in returning to campus to give a seminar

Yes

Interest in homecoming reception

Yes

Permission to share your information with University Advancement

Yes

Alumni Update Form

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Alumni Update Form

Dear Chemistry Alumni,