Update Your Information

Please take a moment to tell us about yourself. For our records we ask that you fill out all fields with an asterisk (*). If there is any information you prefer not to be shared (for any reason) please check the appropriate boxes to indicate your preference to keep that information private. Any required information you prefer not to share with the Alumni Association, please enter “NO” in those fields.

Contact Information* - Keep Private (Checking here keeps ALL Contact information private. You can select individual fields to keep private below.) Contact Information* - Keep Private (Checking here keeps ALL Contact information private. You can select individual fields to keep private below.) Yes

Name*

AΨ#

Address, City, State, Zip*

Mobile

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Home Phone

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Business Phone

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Personal Email

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Business Email

Keep Private Keep Private Yes

Biographical Information - Keep Private (Checking here keeps ALL Biographical information private. You can select individual fields to keep private below.) Biographical Information - Keep Private (Checking here keeps ALL Biographical information private. You can select individual fields to keep private below.) Yes

Date of Birth

Keep Private Keep Private Yes

Marital Status

Keep Private Keep Private Yes

Spouse's Name

Keep Private Keep Private Yes

Anniversary

Keep Private Keep Private Yes

Do you have children?

Keep Private Keep Private Yes

Children's Names and Years of Birth

Hobbies

Why Did You Join Theta Xi?

Pledge Father's Name

Pledge Father's AΨ#

Educational History* - Please tell us the degrees and professional certifications you have acquired. Educational History* - Please tell us the degrees and professional certifications you have acquired.

Degree Name

Area of Study

Institution

Year

Additional Education (Please include where you studied, the degree earned, and the area of study.)

Employment Information - Keep Private Employment Information - Keep Private Yes

Employment Situation

Company Name

Job Title

Locations

What Type of Work Are You Interested in?

Tell Us About Your Current Job (If retired or seeking employment, tell us about your last job; if seeking employment or interested in changing employment, tell us the type of work you are interested in.)

Additional Job History (Please include Job Title, Company, and years of employment.)

By submitting this information you authorize the Alumni Association to share any public (i.e. not designated as private) information with the Alpha Psi Chapter of Theta Xi Fraternity in our Alumni Newsletters and the Alumni Contact Roster as appropriate. Please contact the Drew Davids (AΨ440) at 518757@gmail.com with any questions or concerns.