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Joining the Alumni Association is free and just takes a moment to complete this form. You will receive the quarterly e-newsletter. Alumni who have had their degree conferred will be mailed an alumni card. If you have any questions, please call us at 209.667.3131 or e-mail us at alumni@csustan.edu.

The information on this form is kept confidential for Stanislaus State use only.

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Current Information

First Name, MI *

Last Name *

Suffix (Jr., Sr., etc.)

Name on Student Records (if different)

Gender *

Female

Male

Home Address *

City *

State *

Zip/Postal Code *

Country *

Primary Alternative Email Address (non CSU) *

Preferred Phone Number *

What Type of Phone Number is it? *

Home

Cell

Work

Academic Information

Please check all that apply *

Alumnus/a

Faculty or Staff Alumnus/a

Parent of Stanislaus State Student/Alumni

Current Student

If you are a graduate, or attended Stanislaus State, please list your

Degree

Major

Class of *

Semester

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Other degrees or credentials

Student ID (if known)

Professional Information

Company Name

Job Title

Additional Information

I would like to join the Alumni Association now because:

I received correspondence from the Alumni Relations Office

I want to attend Alumni events

I attended Commencement/Grad Faire

A friend recommended it

I want to update my contact information

Other

If Other

Volunteer Opportunities

Please check any volunteer areas that may be of interest to you. For more information, visit Volunteer Opportunities.

Would you like a membership card mailed to you for library privileges and access to the Student Recreation Center, etc. *

Yes

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