Update Your Alumni Record

Please use this form to submit your alumni milestones and to update your alumni record. If you would prefer to mail the information, please complete and print the form and send to:

Fairmont State Alumni Association
Erickson Alumni Center
1201 Locust Ave.
Fairmont, WV 26554

The information you provide will be used soley for the purposes of the Office of Alumni Relations and will not be shared with any organization outside of Fairmont State.

First Name: *

Middle Name: *

Last Name: *

Maiden Name:

Street Address: *

City: *

State: * select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip: *

Country: *

Date of Birth: *

00/00/00

Degree/Major/Minor: *

Class Year (4 digits): *

Email Address: *

May we publish your email address online?: * select...NoYes

Telephone:

(format 000-000-0000)

Occupation:

Employer:

Spouse's First Name:

Spouse's Last Name:

Spouse's Class (If FS Grad):

Please indicate activities or sports you participated in while you were a student:

Please use the text box below to send us your information about your wedding, new baby, promotion, retirement, or other news. Obituary information may also be included. Information will be published as space and deadlines allow: