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School of Nursing Alumni

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Alumni change record form

Make changes to your alumni record:

Name: ______________________________________________

Graduation Name: _____________________________________

Graduation Year:   _____________________________________

Former address: _______________________________________



New address: __________________________________________



Phone Number: _________________________________________

E-mail: _______________________________________________

Other changes: ________________________________________


If anyone does not want their address to be given to other alumni members, please let us know in writing as soon as possible. We only give information out to alumni members.

Print and mail completed form to:
Margaret Franklin
311 East Center Street
Danville, PA 17821-1109

Thank you for notifying your alumni association of any changes.