*
Required
Title (Ms., Mrs. Dr.)
*
required
First Name
*
required
Last Name
*
required
Name at Graduation
*
required
Class Year
*
required
Email Address
*
required
Phone 1
Type
Phone 2
Type
Address 1
Address 2
City
State
Zip
Country
University/College(s) Attended
Degree(s)
Employer
Job Title
Spouse (if applicable)
Children (names and ages)
SUA Legacy (list relatives who have graduated from SUA)
Please include name (first, maiden, last), class year, and relationship to you.
Additional Information or News
If you have any exciting news, we'd love to include it in the "Class Notes" section of our next Ursula Update magazine!