Alumni Database Entry

All fields are required unless noted. If updating your info please email haighta@gvsu.edu
Check all boxes next to fields that you wish to show online.

Name
First Name:
Last Name:
Maiden Name:
(optional)
Address
Address:
City:
State:
Zip Code:
Contact
E-Mail:
Home Phone:
(ex. XXX-XXX-XXXX)
Work Phone:
(ex. XXX-XXX-XXXX)
Cell Phone:
(ex. XXX-XXX-XXXX)
Fax:
(ex. XXX-XXX-XXXX)
(optional)
Employment
Employer:
Title:
Education
Grad Year:
Alma Mater: