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Magazine Winter 2010 Northwestern State University of Louisiana ...

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Visit our website at<br />

www.northwesternalumni.com<br />

and click on “Update our files”<br />

or use this printed form.<br />

Please fill this page out as completely as possible. We are constantly revising our records and your<br />

information updates are vital to making the system work. The information from this form is also used for<br />

entries in the “Alumni Updates” section. Please make a copy <strong>of</strong> this page and give it to any NSU graduate<br />

who may not be on our list. We can’t keep in touch with you if we can’t find you! Thank you.<br />

Date_____________________<br />

Name: (Miss, Mrs. Mr.)______________________________________________________________________________________<br />

Please Circle Last First Middle Maiden<br />

Current address:__________________________________________________________________________________________<br />

City:________________________________________________________<strong>State</strong>:_____________ Zip:_______________________<br />

Phone:_____________________________________________________E-Mail:________________________________________<br />

NSU undergraduate degree(s):______________________________________________Year <strong>of</strong> graduation:__________________<br />

NSU graduate degree(s):___________________________________________________Year <strong>of</strong> graduation:__________________<br />

During which years did you attend NSU?________________________________________________________________________<br />

Which organizations were you involved in while a student at NSU?___________________________________________________<br />

________________________________________________________________________________________________________<br />

________________________________________________________________________________________________________<br />

________________________________________________________________________________________________________<br />

Place <strong>of</strong> employment _______________________________________________________________________________________<br />

Job title:____________________________________________________Work phone:___________________________________<br />

Spouse’s name:___________________________________________________________________________________________<br />

Is your spouse an NSU graduate? ____Yes ____ No<br />

If yes, what degree(s) did he / she earn?<br />

Spouse’s undergraduate degree (s) _________________________ Year <strong>of</strong> graduation_________<br />

Spouse’s graduate degree (s) ______________________________ Year <strong>of</strong> graduation________<br />

Do you have children who are potential <strong>Northwestern</strong> students?<br />

Please tell us their names, contact information, and what high school they attend.<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

Please return to: Alumni Center • <strong>Northwestern</strong> <strong>State</strong> <strong>University</strong> • Natchitoches, LA 71497<br />

If you would like information from Admissions, Financial Aid or<br />

the NSU Athletic Association, you can contact them at the following address:<br />

<strong>University</strong> Recruiting<br />

South Hall<br />

Natchitoches, LA 71497<br />

(318) 357-4503 or 800-327-1903<br />

www.nsula.edu/enrollmentservices/recruiting<br />

Financial Aid<br />

Room 109, Roy Hall<br />

Natchitoches, LA 71497<br />

(318) 357-5961<br />

www.nsula.edu/financialaid<br />

Athletic Director<br />

Room 101C,Athletic Fieldhouse<br />

Natchitoches, LA 71497<br />

(318) 357-5251<br />

www.nsudemons.com

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