Alumni Authors

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/Alumni + Friends

Showcasing our alumni authors.

Personal Information

First Name *

Middle Name

Last Name *

Maiden Name

Degree Earned *

Year of Graduation *

Can we list your info in the Alumni Directory? *
yes
no

Mailing Address

Home Address 1 *

Home Address 2

City *

State *

Zip / Postal Code *

Country *

Phone * (xxx-xxx-xxxx)

Fax (xxx-xxx-xxxx)

Email *

Publishing Information

Author(s) Name(s) *

Title *

Publisher Name *

Publishing Date *

ISBN# *

Type of Publication

Publisher's link/to order or view publication *

Other web site

Alumni Author Information *
I am interested in serving as a speaker at an upcoming event
I would like to be featured in an "Alumni Spotlight" on the website
I would like to serve as a trainer or mentor for students and new alums

The Asterisk (*) denotes a required field

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