Wichita State University Alumni Association
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Alumni Address Update Form

Personal Information:

First Name:
Middle Initial:
Last Name:
Maiden Name:
Degree:
Major:
Year Graduated:
My Nickname is:

Previous Address Information:

Street Address: 

City: 
State, Zip: 
Country: 

Phone # with area code: 

Email: 

New Address Information:

Street Address: 
City: 
State, Zip: 
Country: 
Email: 
Phone # with area code: 
Home Fax number: 

Employment Information:

Employer's Name: 
Job Title: 
Business address: 
City: 
State, Zip: 
Country:  
Email: 
Phone # with area code: 
Fax number with area code: 

Other Information:

Have you left a job, started a job, been promoted, retired, received
an honor, or have any other news you would like to share in Alumni News Class Notes? If you graduated under a different name, enter it here.

Please enter your information:
(do not use the enter key, allow word wrap)

Please update the following information:

  Name   Address   Phone Job

Are you retired?

  No Yes Semi Never!

Are you married?

Yes No Divorced Widowed

If applicable what is your spouse's:

Name: 
Maiden Name: 

Are you a current member of the WSU Alumni Association?

Yes No Don't know

Is your spouse a WSU graduate?

Yes No Don't know

Please send me information on:

Membership Volunteering
Events Chapters
The Shocker None

If you are unable to see any of the information you have entered after hitting submit information, please notify Stacy Salters. If you have any changes to the form, please use the back button to get back to the form. This form does not work with web tv.

Rockin' The Roundhouse

Graduating Senior/Recent Grad Membership Specials

Follow this link to check out the alumni association's special membership offers for graduating seniors and recent graduates.



Check out the Shocker magazine online.
1845 Fairmount | Wichita, KS 67260 | p. 316.978.3290 | f. 316.978.3088