Update Your Record
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Please help us keep your information as up-to-date as
possible so that we can keep you informed and in touch with Southern
Illinois University Carbondale.

Thank you for taking a moment to update your personal information. If you have any problems sending your changes, please e-mail us describing the problem.
Personal Information
Gender*
Title (Mr. Mrs. Ms. Miss)*
First*
Middle
Last*
Former Name
Graduation Year
Birthdate
Marital Status
Spouse Title
Spouse's Full Name
Number Of Children
Household Income Level
Home Information
Is this an
international address? 		Yes No
Address 1*
Address 2
City*
State*
Zip*
Home Phone* - -
Home Fax
Preferred E-Mail*
Personal URL
Business Information
Is this an
international address? 		Yes No
Employer
Your Title
Address 1
Address 2
City
State
Zip
Business Phone - -
Business Fax
Business E-Mail
Business URL
Degree1
Degree
College
Campus
Major
Year
Was this degree program completed and the degree granted Yes No
Degree2
Degree
College
Campus
Major
Year
Was this degree program completed and the degree granted Yes No
Degree3
Degree
College
Campus
Major
Year
Was this degree program completed and the degree granted Yes No
Campus Activities
Please list scholarships you received while attending SIU.
If you were a member of a social fraternity/sorority while at SIU,
please indicate which one and the campus you were attending.
Please list any activities, student organizations, honor societies, etc;
with which you were associated.
Other Information
Individuals are associated with SIU in a variety of ways. Please mark all of the following relationships that apply to you.
Alumnus,Graduate Spouse Of Employee Spouse of Graduate
Alumnus,Non-Graduate Parents Of Alumnus Medical Resident
SIU Employee Former SIU Employee  
Other
My general attitude toward Southern Illinois University Carbondale is?
Very Positive Positive Neutral Negative Very Negative