If you prefer to mail us the form, please use the printable version: File Alumni Information Update Sheet 2024.pdf Current Start Spouse / Partner Children Career Information HOSTS Program Share Your News Complete Introduction Help us keep your record current by updating the form below. The information is used only by SIU and is not made available to outside individuals or organizations. Information about your specialty and practice location are important to the overall mission of the School of Medicine. We welcome you to send us a copy of your curriculum vitae by emailing it to us directly at alumnirelations@siumed.edu Alumni Personal Information Graduation Year - Select -197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028202920302031203220332034203520362037203820392040 Class Affiliation Year (If different from your graduation year) - None -197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028202920302031203220332034203520362037203820392040 First Name Last Name Name at Graduation Home Address City State State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingOther… Enter other… Postal Code Email Your email address will only be used by Alumni Relations to contact you Cell Phone area code, prefix, number Home Phone area code, prefix, number
