Alumni Information Update

Name(Required)

Phone Number

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I am a: (select as many as apply)(Required)

Phillips University Alumnus

Legacy Scholar Alumnus

If you are an alumnus, please indicate your graduation years or years in attendance

Updates

Please List Any Professional, Academic or Personal Achievements or Updates You’d Like To Share

Other

I am interested in learning more about: (select as many as apply)(Required)

Undergraduate and graduate programs

Alumni gatherings and programs

Opportunities for giving

Opportunities for volunteering

Other (please fill in below)

Please list other comments or questions

Sharing My Information

Please share my information with other Phillips-related organizations (PUAFA and PTS)

Please do not share my information with other Phillips-related organizations (PUAFA and PTS)

Phone

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