Traditional Undergraduate

The information in this form is required by outside agencies and accrediting authorities for reporting purposes and will be reported in a statistical format only. All personal information will remain confidential.

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Personal Information

Name *

First

Last

Maiden Name (if applicable)

Preferred first name or nickname

Address after graduation *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Email Address *

Someone who will always know my location (parent, relative, etc.)

First

Last

Their relationship to you

Their email address or phone number

Education Information

Degree Completion Date *

December

Spring

Major(s) *

Co-Curricular activities beyond the classroom including athltic teams, clubs, organizations etc. *

Career Information Choose the answer that best describes your post-graduation employment status *

Seeking full-time employment in my field of study

Employed full-time in a career in my field or study

Employed full or part-time while seeking employment

Continuing my education, not seeking employment at this time

If you are employed in your career field, what was your primary source to find this position?

Company Name

Location (city, state)

Job Title

Business industry of employment (business, healthcare, education, etc.)

Does Malone University have permission to use your name, grad year, occupation, city, state, and email address in the online Malone Alumni Directory? (password protected and used only by alumni)

Yes, I give permission for this information to be used.

I give permission for my name and grad year to be listed.

I prefer that this information is used for internal purposes only.

Comments/Questions

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Malone University - Christ's Kingdom First

Traditional Undergraduate

Personal Information

Education Information

Office of Alumni Relations

Megan Mauck

Director of Alumni and Constituent Engagement

Contact Info

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