��ý alumni information form

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Please use this form to provide updates or corrections to alumni records. Information will be maintained by ��ý Foundation.

Alumni information

Reason you are completing this form (check all that apply)

Personal update

Contact info correction/update

Employment update

Report a deceased alumnus

Other

First name of deceased alumnus/friend of ��ý

Last name of deceased alumnus/friend of ��ý

Year of graduation (if known)

Date of death

Date of death: Year

Date of death: Month

Date of death: Day

Relationship to the deceased

Link to obituary

Your information

First (while attending SUNY ADK)

Last (while attending SUNY ADK)

Current/preferred first name

Current/preferred last name

Year(s) attended/Year of graduation

Degree/program (if known)

Banner ID number (if known)

Contact information

Address

City/Town

State/Province

ZIP/Postal Code

Country

Phone number

Email address

Employment information

Employer

Job title

Address

City/Town

State/Province

ZIP/Postal Code

Country

Work phone number

Work email address

LinkedIn profile link

Athletics

Were you an athlete at ��ý?

Yes

In what sport(s) did you compete?

What years did you play?

Did you go on to compete at a four-year college?

Yes

Where and what years did you play?

Is there anything else you'd like us to know? An exciting personal or professional achievement? A moment when your ��ý education made a difference? Another ��ý story to tell?

Please note: For time-sensitive updates or questions, please contact ��ý Foundation directly at alumni@sunyacc.edu or foundation@sunyacc.edu, or 518-743-2243.

Privacy and communication preferences

I would like to receive email updates and newsletters

I would like to receive mailed invitations/notices

Please remove me from future communications

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�������ý alumni information form

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��ý alumni information form