CHSE Alumni Contact Update Formstack - Formstack

Name

First Name

Last Name

Home Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Email

Employer

Title/Position

Business Address

Address Line 1

Address Line 2

City

State

ZIP Code

Business Email

Year Graduated

Degree

Tell us a little about what you have been doing. Any recent news (promotions, job changes, marriages, births, awards, etc.)

I would like to be contacted by someone in the College about how I can make a gift or support the College in other ways.

Yes No

Data Consent*

I authorize

I authorize that all information provided on this alumni update form, including any and all personal and academic data, will be stored and maintained by the LSU Foundation to facilitate Alumni communications. This data will be securely retained indefinitely. To learn more about privacy at LSU, please see the LSU Privacy Statement at www.lsu.edu/privacy.