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Personal Info
First Name:*
Middle Name:
Last Name:*
Suffix: (Jr., III, etc.)
Title: (Mr., Dr., etc.)
Nickname:
Initiation Year:*
Graduation Year:*
Spouse First Name:
Spouse Last Name:

Electronic Addresses
Preferred Email:* Home Work
Home Email:
Work Email:
Personal Web Address:
Work Web Address:

Phone Numbers
Home Phone:
Home Fax:
Cell Phone:
Work Phone:
Work Fax:

Preferred Postal Address
Address Type:* Home Work
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Address Line 2:
City:*
State/Province:*
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Country:
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Other Postal Address
Address Type: Home Work
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Country:

Employment/Career
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Employer:
Career Category:

Please enter the category that best describes either the industry in which you work or your position within the company. For example, if you are an HR director for an information technology company, you could choose either "Human Resources/Labor" or "Information Technology," whichever you feel would be most helpful to those using our Career Networking search function.


Undergraduate Education
Degree Year Major School

Graduate Education
Degree Year Major School
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