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New Graduate Survey

Help us keep your alumni records up-to-date so you can stay in touch with your university and your fellow alumni. Don't worry, the UI doesn't routinely share this information—except for "public" records such as name and addresswith anyone outside the university.

Personal Information *Required
Preferred Title
  If Other, please provide
*First Name
Middle Name
*Last Name
Birth Name
*Gender Female   Male
Birth Date
*Degree
*Graduation Year
Which Session Did You Graduate?
Major
Residence Address Information
*I live in the United States.
Street Address:
City:
State:
Zip Code:
I do not live in the United States.
Foreign Address:
(Type line by line per postal requirements in your country.)
Home Phone
*Preferred E-mail
Employment Information
Professional Title
Employer Name
*US Address (Employer)
Street Address:
City:
State:
Zip Code:
Foreign Address (Employer)
Foreign Address:
(Type line by line per postal requirements in your country.)
Business Phone
Mailing Preference Home Business
Spouse Information (if applicable)
Preferred Title
  If Other, please provide
First Name
Middle Name
Last Name
Birth Name
Birth Date
Gender Female   Male
Is spouse a graduate of the UI? Yes   No
Degree
Graduation Year
Person Who Will Always Know Your Address
First Name
Last Name
US Address
Street Address:
City:
State:
Zip Code:
Foreign Address
Foreign Address:
(Type line by line per postal requirements in your country.)
Phone
Relationship to you
Comments or Questions
*You must enter text from the image below:

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