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Title

Mr. Mrs. Ms. Dr. etc.

First Name

Middle Name

Last Name

Suffix

Jr. Sr. etc.

Former Surname(s)

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Date of Birth

Contact Info

Would you like to recieve the Alumni Columns Magazine?

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Address

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Zip Code

Email

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Phone

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Degree Information (Optional)

Would you like to update your degree information?

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Minor

If applicable

Do you have any additional degrees from NSU?

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List any additional degrees you've recieved from NSU:

Spouse Information (Optional)

Would you like to update your spouse information?

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Spouse Title

Suffix

Is your spouse a NSU Graduate?

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Spouse Graduation Year

Spouse Former Name(s)

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Employment Information (Optional)

Would you like to update your employment information?

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Address

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City

State

Zip Code

Student Involvement (Optional)

Did you participate in any Student Organizations or Athletics?

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What student organization(s) were you a member of at NSU?

What NSU athletics were you involved with?