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Alumni Information Update

Please update us on who and where you are. Complete each box unless it is marked as optional. Thank you!

Title:		Mr.   Ms.   Dr.   Rev.
First Name:
Maiden Name (if applicable):
Last Name:
Undergraduate Alma Mater:
Date you attended CMC/Chicago Semester:		Fall   Spring   Year 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Internship Site:
Home Address:
Line 2: (optional)
City:
State:
Postal Code (Zip)
Telephone--
Home:
Cell:
Work:			Ext:
Preferred Email address:
Secondary Email address:
Current Occupation:
Employer:
Job Title:
You may share this information with other Chicago Semester alumni.		Check one:  Yes   No
You may include this information in the next alumni newsletter.		Check one:  Yes   No
Comments:
Enter the above text (caps not required):

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