Update Alumni Profile

Please complete the form below. Required fields marked *

Do you currently receive mail from La Salle?

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Yes

Do you currently receive email from La Salle?

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Yes

Contact Information

First Name*

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Last Name*

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Maiden Name (if applicable)

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Email*

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Primary Phone*

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Secondary Phone

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Address

Street Address*

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City*

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Zip/Postal*

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Affiliation to La Salle

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Class of

i.e. 1997

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Spouse/Partner Name

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How should we address our mail to you?

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Use my name only

Use my name and my spouse's/partner's name

Is your spouse or partner an alumnus/a of La Salle?

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yes

If so, what is your spouse/partner's grad year?

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Employer

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Job Title

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Work Phone

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Please check all that apply:

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I'd like to learn more about getting involved in the Alumni Association

I'd like to volunteer at Alumni Association events such as Yulefest or the Golf Tournament

I'd like to be a representative for my class

Alumni Update/News: Recently promoted? New job? Have other news to share? We want to hear from you! Include a brief message below. Information provided may be used on our social media or website.

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It is OK for La Salle to publish my Alumni Update/News in the alumni newsletter and/or magazine. (La Salle will NOT publish any address or contact information.)

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Yes

Please fix the highlighted areas below before submitting.

Update Alumni Profile