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Apply for the WSC Credit Card

Address Update/Submit Class Notes

 

Have you changed your personal information? do you know someone who has? This form can be used to notify the Alumni Office when your biographical information changes. Please answer all the sections as thoroughly as possible, even if some parts have ot changed. Wayne State College does not sell any part of an individuals's information to any entity. If you would like to contact another WSC alum, we will contact that person on your behalf and pass along your contact information.

First Name:

Middle:

Last Name:

 

Class year:

Maiden Name:

 


Please check all that apply

Alumni

Parent

Faculty

Staff

Friend

Other

 

If you are an alum, please complete the following info:
Spouse/Partner Name:

 

Is he/she an alum? Yes No

 

If so, what year?:

 

Address Update

Home

Seasonal

Alternate


Street Address:

 

City:

State:

Zip:

 

Country:

 

 

Telephone:

Cell:

 

Home email :

 

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Company Address Update

Company Name : Title:

 

Public

Private

Non-Profit

 

Government

Self-Employed

 

 


Street Address:

 

City:

State:

Zip:

 

Telephone:

Ext:

 

Cell:

Fax:

 

 

Work email :

 

 

Additional Information

What type of change is it?:

Marriage

Divorce

Education after WSC

Birth

Death

Other

 

Effective Date
Please select date this information become effective.
Month: Day: Year:

 

If you have other information that you would like to update or have a submission for class notes in our publications, please complete the following:

 

 

 

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