Alumni Information Update

Alumni Update Form 

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General Information 

Title (Mr.., Dr., Gen.):      Last Name:     First Name:     Middle:     

Preferred Name:      Maiden Name:     Former Name:     

Social Security Number:     

Address:     

City:     State:     Zip Code:     

Phone Number:     Email:   

 Ethnicity: Ethnicity American Indian/Alaska Native Asian Black Hispanic/Latino International Multicultural Other Unknown White Asian or Pacific Islander               Birth Month:     Birth Day:    Birth Year:     

HSU ID#:     

Employer:     

Employer City:     Employer State:     Employer Zip Code:     

Employer Phone:     Employee Title:    

High School:     

High School City:     High School State:     High School Graduation Year:     

Alumni Status:   Faculty Alumni Faculty Faculty Widow/Widower Retired Faculty Alumni Retired Staff Retired Staff Alumni Adjunct Alumni Alumni Friend Former Student (Attended, did not graduate)    

Alumni Status Other:     

I attended HSU from:     to: (if applicable)     

The year I graduated from Henderson (if not applicable, please enter 0000):     

Major:     Degree:     

Second Degree (if applicable):     

The year I graduated from Henderson with my second degree:     

I participated in the following sports:  Baseball Basketball Cross Country Football Golf Softball Swimming Tennis Track Volleyball    

Other Sports I participated in:     

Greek Organization I was a member of:  Alpha Kappa Alpha Alpha Phi Alpha Alpha Sigma Alpha Alpha Sigma Tau Alpha Xi Delta Delta Sigma Theta Delta Zeta Kappa Alpha Kappa Alpha Psi Omega Psi Phi Phi Beta Sigma Phi Lambda Chi Phi Sigma Epsilon Phi Sigma Kappa Sigma Gamma Rho Sigma Phi Epsilon Sigma Sigma Sigma Sigma Tau Gamma Theta Xi Zeta Phi Beta     

Other Greek organizations I participated in:    

Activities I participated in:   Band - Marching, Concert, Jazz Cheerleader Choir-Concert, Chorale Debate Drama Heart and Key ROTC Student Government  

  Other Activities I participated in: 

Scholarships I received:       

Spousal Information 

Martial Status: Single Married Divorced Widow/Widower  

I met my spouse at HSU: 

Spouse Name:     

Spouse's Maiden Name:     

Spouse's Social Security Number:      

Spouse's Birth Month:     Birth Day:     Birth Year:     

My spouse attended HSU:  

He/She attended HSU from:      to:      

Graduation year:    

Major:      Degree:  

Spouse's High School:     

High School City:     High School State:     

He/She participated in the following sports at HSU:   Baseball Basketball Cross Country Football Golf Softball Swimming Tennis Track Volleyball   

 Other Sports that he/she participated in at HSU:     

At HSU, Greek Organizations that he/she was a member of:   Alpha Kappa Alpha Alpha Phi Alpha Alpha Sigma Alpha Alpha Sigma Tau Alpha Xi Delta Delta Sigma Theta Delta Zeta Kappa Alpha Kappa Alpha Psi Omega Psi Phi Phi Beta Sigma Phi Lambda Chi Phi Sigma Epsilon Phi Sigma Kappa Sigma Gamma Rho Sigma Phi Epsilon Sigma Sigma Sigma Sigma Tau Gamma Theta Xi Zeta Phi Beta    

At HSU, other Greek organizations he/she participated in:     

At HSU, activities he/she participated in:   Band - Marching, Concert, Jazz Cheerleader Choir-Concert, Chorale Debate Drama Heart and Key ROTC Student Government   

At HSU, other Activities he/she participated in:   

Children 

First Child's Name:    

Birth Month:     Birth Day:     Birth Year:    

First Child's Gender:   

Second Child's Name:    

Birth Month:     Birth Day:     Birth Year:    

Second Child's Gender:   

Third Child's Name:    

Birth Month:     Birth Day:     Birth Year:    

Third Child's Gender:   

Fourth Child's Name:    

Birth Month:     Birth Day:     Birth Year:    

First Child's Gender:   

Other Information 

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