EmailMe Form - Alumni Contact Information

Date of Birth *

MM / DD / YYYY

(This is required for positive identification purposes)

Name *

Prefix First MI Last Suffix

Maiden Name

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Home Phone

### - ### - ####

Mobile Phone

### - ### - ####

Email *

Shaw University Degree Information

Graduation Year *

(4-digit year)

Degree Received *

Associate's Degree

Bachelor's Degree

Master's Degree

Other Degree(s) Received

Institution Name

Graduation Year

(4-digit year)

Major

Employment Information

Employment Status *

Employer

City

State

Country

Stay Connected

Would you like to be included in the Shaw University Alumni Directory? *

Yes

No

Would you like to receive the monthly Shaw University Alumni eNewsletter? *

Yes

No

I already receive the Alumni eNewsletter

Please share your news about awards, job changes, promotions, or marriage, birth, or death announcements.

Is this a(n)

Announcement (engagement, wedding, birth, death, etc.)

News/Promotion

Address Change

Preferred method of contact: *

Phone

Email

Mail

Are you a member of a Shaw University Alumni Chapter? *

Yes

No

Name of Alumni Chapter *