Alumni Profile Sheet





Alumni Information
Salutation:
   

First Name:
Middle Initial:
Last Name:
Name at Graduation:
Nickname:
Date of Birth:
Major(s):
Minor(s):
Advanced Degree(s) Earned:
Advanced Degree(s) Earned:

Contact Information
Home Address:
City, State, Zip:
Primary Telephone Number:
E-mail Address:

Employment Information
Retired?
   

If yes, please write number of years retired:
Present Employer:
Former Employer:
Former Employer:
Miliary Service (Branch/Rank):

Relationships
Relationship Status:

   

Years Married:
Spouse's Name:
SRU Grad?

   

If yes, Grad Year:
Number of Children:
Number of Grandchildren:
Number of Great-Grandchildren:
I am a legacy graduate

   


Please list the family members below who also graduated from SRU
   Name:    Relationship:    Grad Year:
   Name:    Relationship:    Grad Year:
   Name:    Relationship:    Grad Year:
   Name:    Relationship:    Grad Year:
   Name:    Relationship:    Grad Year:
   Name:    Relationship:    Grad Year:
   Name:    Relationship:    Grad Year:
   Name:    Relationship:    Grad Year:


Below please provide your biography information as you would like it to appear in the memory book

(Helpful tips for writing your biography: Possibly include things like your major/minor, advanced degrees,
talk about your career, spouses' name and grad year if an SRU graduate, number of years married, number of
children/grandchildren, hobbies, your favorite memory from college, talk about the last 50 years of your life, etc.)

The following information does NOT serve as a reservation




Are You Planning to Attend the Reunion?   



   


(You will still need to return your registration or register on-line @ www.rockalumnievents.com/homecoming)


Please submit this form online by September 9th in order for your information to be added to the memory book.


Questions, please contact
Office of Alumni Engagement
Tracy Allison
Slippery Rock University
105 Campus Drive
Slippery Rock, PA 16057
Phone: (724) 738-4153
Email: tracy.allison@sru.edu