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Please enter your full name - first, middle, last.

Title:

First, Middle, Last Name: Suffix:

Nickname:

Maiden Name:

Degree: Associate of Arts  Bachelor of Applied Arts  Bachelor of Arts  Bachelor of Business  Admin Bachelor of Fine Arts  Bachelor of Music  Bachelor of Science  Certification  Doctorate of Education  Doctorate of Philosophy  Masters of Arts  Masters of Business  Admin Masters of Education  Masters of Fine Arts  Masters of Library Science  Masters of Music  Masters of Political Science  No Degree Other Other:

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Home Phone: Cell Phone:

Email Address:

Home Address:

If different from Home Address:
Mailing Address:

City: State: Zip:

Company Information

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Position or Title: Phone:

Organizations you were active in while at SHSU:

Spouse Information

Title:

First, Middle, Last Name: Suffix:

Nickname: Maiden Name:

If SHSU alum:

Grad Year:

Home Phone: Cell Phone:

Email Address:

Spouse's Company Information

Company Name:

Position or Title:

Phone:

Organizations your spouse was active in while at SHSU:

Any news you'd like to share with your fellow Alums?