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Lincoln University Alumni Record Update

Alumni Information

Full Name (First Middle Last):
Nickname:
Marital Status:
Ethnicity:
If Other Ethnicity (specify):
Address (Street City State Zip):
Home Phone:
Fax:
Email Address:
Year Graduated:
Degree Earned:
Major:
SSN:
Date of Birth:
Place of Birth:
Self Employed/Business Owner?:
If Yes - Nature of Business:
Profession/Job Title:
Employer/Company:
Employer Address (Street City State Zip):
Work Phone:
Work Fax:
Work Email:
Extra Curricular Activities While at LU:	Band Choir Football Team Basketball Team Dance Troup SGA/Office Held: Fraternity/Sorority: Other:

Full Name (First Middle Last):
Nickname:
Ethnicity:
If Other Ethnicity (specify):
Address (Street City State Zip):
Home Phone:
Fax:
Email Address:
Year Graduated:
Degree Earned:
Major:
SSN:
Date of Birth:
Place of Birth:
Self Employed/Business Owner?:
If Yes - Nature of Business:
Profession/Job Title:
Employer/Company:
Employer Address (Street City State Zip):
Work Phone:
Work Fax:
Work Email:
Extra Curricular Activities While at LU:	Band Choir Football Team Basketball Team Dance Troup SGA/Office Held: Fraternity/Sorority: Other: