Personal Information Update

Personal Information Update
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First Name
Middle Name (or Initial)
Last Name
Email
Name as student
Street Address 1:
Street Address 2:
City:
State:
Zip Code:
Country:
Home Phone
Education Information
Undergraduate Degree
Degree Year:
Degree:
Major(s):
Institution:
 
Graduate Degree(s)
Graduate Degree:
Degree Year:
Emphasis:
Institution:
 
Graduate Degree:
Degree Year:
Emphasis:
Institution:

Doctorate or Advanced Degree
Degree:
Degree Year:
Emphasis:
Institution:
Employment Information
Business Name
Profession
Business Title
Business Street 1
Business Street2
Business City
Business State
Business zip
Business Phone
Business Email
Spouse/partner Information
Is your spouse/partner a UCSB graduate?
*If Yes, please fill out the following information
Spouse's/Partner's First Name
Spouse's/Partner's Middle Name:
Spouse's/Partner's Last Name
Spouse/partner's name as student
Spouse's/Partner's UCSB Grad. Year:

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UC Santa Barbara
Santa Barbara, CA 93106
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Contact Us:
Mosher Alumni House
University of California Santa Barbara
Santa Barbara, CA 93106-1120

Telephone 805-893-2288
Fax: 805-893-4918
Email: ucsbalum@ia.ucsb.edu

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