Alumni Contact Form This form is for updating your contact information and is only used for our internal list. If you want your listing online please complete the separate alumni directory form. Alumni Directory Form Please complete this form in its entirety. Not sure what year you graduated? Click here and search for your name to find your graduation year.Graduation Year*199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020OtherTitleChoose oneMr.Mrs.Ms.Dr.Sr.Hon.First Name*Middle Initial or NameLast Name*SuffixPreferred Name/NicknameIf your first name and your preferred name are exactly the same leave this box blank.Maiden NamePlease enter name you used when you went through program if different from your current nameHome AddressHome CityHome StateNYALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYVGHome ZipZip +4CompanyPosition/TitleDo you work for the same company that you did when you went through the LR program?YesNoDo you have the same title/position that you did when you went through the LR program?YesNoOriginal CompanyPlease enter your company when you went through program if different from your current company.Original Position/TitlePlease enter your position and/or title when you went through program if different from your current position/title.Work AddressWork Address 2Work CityWork StateNYALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYVGWork ZipZip +4Preferred PhoneHomeWorkCellHome PhoneCell PhoneWork PhoneWork Phone Ext.Preferred Email* Preferred Email TypeHomeWorkAlternate Email Alternate Email TypeHomeWorkHome FaxWork FaxIf you no longer want to receive mailings from us and would rather just receive electronic correspondence please check the box below. (Note - an occasional mailing may still arrive, but we will do our best to comply).Mailings No USPS PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
