DMSc stay connected | SIU School of Medicine

Life after DMSc brings about wonderful opportunities and exciting adventures that will literally take you places you never imagined you would go. We want to hear your stories and successes. By providing us with your updated information, we can help you stay connected with SIU and DMSc in a variety of ways.

Name

First Name

Last Name

Maiden Name

Address Markup

Address

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Primary Phone Number

Class Year

Spouse

Spouse Name

First Name

Last Name

Spouse Employer

Spouse Title

Employer Markup

Employer

Name of Employer

News Markup

News

How would you like to stay connected?

Would you like to receive information about upcoming reunions?

Yes

Would you consider participating in DMSc volunteer or networking opportunities?

Yes

News

May SIU Medicine include this information in promotional materials?

Yes

Other…

Promotional materials may include but are not limited to: SIU Medicine's quarterly alumni magazine, social media, printed handouts or web content.