Lindenwood University - Saint Charles, MO

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The Connection
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• Summer '10

The LindenBark
Digital Newsletter

• June '10

Alumni & Friends - Update your Information

Lindenwood University (formerly College)
Alumni Contact Information

Lindenwood Univeristy • 209 S. Kingshighway • St. Charles, MO 63301

We love to keep in touch with our alumni and friends about campus activities and news. If we've lost touch with you, please update us! Please complete the following form to ensure Lindenwood University can remain connected with you. We hope to better serve you by updating your Alumni Records. Thank you.

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Current Contact Information

Personal E-Mail Address: (required)

Prefix:

Full Name:

Preferred Name:

Maiden Name:

Suffix:

Date of Birth:

Residence Address:

City:

State:

Zip Code:

Country (if not US):

Residence Phone #:

May we make your contact information available to other LU alumni through a directory in the future?
Yes No

Undergraduate Degree:

Major:

Year Received:

Graduate Degree:

Year Received:

Employer:

Job Title:

Business Address:

City:

State:

Zip Code:

Country (if not US):

Business Phone #:

Employer has a Matching Gift Program?
Yes No

Education, Career Development, Profesional Organization Information

List any other Institutions attended:

Institution:

Degree:

Dates of Attendance:

While you were at Lindenwood in which campus organizations did you participate?
(fraternity/sorrority, clubs, varisty athletics, intramural teams, etc.)


List any awards/scholarships received:


Have you ever used the Lindenwood University Career Development Center to assist you in finding employment?
Yes   No   N/A

List any memberships in professional organizations and Corporate/Foundation Boards:

Family Information

Spouse's Name:

Date of Birth:

Job Title:

Spouse's Employer:

Spouse's Employer has a Matching Gift Program?
Yes No

Spouse's College/University:

Dates of Attendance:

Degrees:

Name(s) and Date of Birth of Children:
DOB:

DOB:

DOB:

DOB:

DOB:

Please list the Name, Address, and Phone Number of a person who would always know your address:

Preserving Our Heritage

Please select all items below that are of interest to you:
I would be willing to participate in a Mentorship Program by sharing my professional experience with a student.

I would be willing to serve as a class agent to assist the Alumni Office with communication and events.

I am interested in learning more about Academic Programs at Lindenwood.

I would like more information about Campus Projects/Renovations.

I would enjoy hearing about student success stories.

I have made provision for Lindenwood in my estate plans.

I would like more information about planned giving.

Other

What would encourage you to return to campus for your class reunion?

Your comments, please. We value your opinion and want to hear from you.