Aurora University
Alumni Association

Alumni Profile Form

To keep you informed and connected with fellow alumni, please take a few minutes to complete this form. 

The information collected is for use in record keeping and will not be shared with or sold to third-party organizations.

We may use an edited version of your notes in a future hard copy edition of Alumni Notes. However, if you do not wish to be included please advise Alumni Relations via email: alumni@aurora.edu.

Personal Information:
Name:

Maiden Name or Name While Attending (if Different From Above):

Marital Status (select one):     Single    Married    Divorced    Widowed

    Spouse's Name:

Address 1:

Address 2:

City:        State:

ZIP Code:    +4:

Country:

Phone # :

Fax # :

Personal E-mail:

Date of Birth: month January February March April May June July August September October November December / /

Year Completed Primary Degree or Certificate:     Please Select School: Aurora University Aurora College George Williams College

Did you receive another degree?  If so, please specify:

Year Completed Additional Degree or Certificate:     Please Select School: Aurora University Aurora College George Williams College

Employment Information (Optional):

Are you employed full-time?     yes    no

If "yes," are you employed within your major?      yes    no

Employer:

Title:

Department:

Address 1:

Address 2:

City:        State:

ZIP Code:    +4:

Phone # :

Fax # :

Business E-mail:

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Thank you for completing this form.
If you have any questions please call Alumni Relations at 1-800-377-2782

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