Alumni Information

Please take a moment to complete our informational form for alumni from the Honors College at Eastern Illinois University. We'd like to keep in touch with you, and for you to keep in touch with others.

Name Title First Last Suffix
Maiden Name
Email Address
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home or Cell Phone - (###) - ### ####
Degree(s), and years awarded

Please chronologically list degree awarded, e.g., B.S. ('85), M.S. ('88), Ph.D. ('96).
Majors of degrees awarded.

Please list the major, or discipline, for the degree you have earned, e.g., Environmental Science, Geology, Geology.
Institution(s) from which you have degrees

Again in chronological order, please list the institution(s) from which you earned a degree, e.g., University of Virginia, Fort Hays State University, University of Oregon.
Additional notes you wish to share with the Honors College and fellow alumni
Can we share your information in our alumni newsletter? *
Items to exclude from the newsletter

Please list any items you wish to be excluded from the newsletter. By default, we wish to share your name, year graduated from Eastern, and the additional notes. Other information is for internal use only.