CME and MSE Alumni Contact Update

Departments & Programs

CME and MSE Alumni Contact Update

Home Information
First Name	Middle Name	Last Name

Street Address

City	State	Zip Code

Country

Home Phone	Personal Email

Maiden Name	Degree(s)/Year

Business Information
Employer	Job Title

Street Address	City

State	Country	Zip Code

Business Phone	Business Email

Mailing Preference	Home	Business
E-mail Preference	Home	Business
Briefely describe your job duties:

Personal Information

Personal/Professional Awards

May we list your email address on our CME/MSE Alumni E-mail list?
Yes	No

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University of Kentucky — College of Engineering — Lexington, KY 40506-0503 — (859)-257-1687 — Strategic Plan — External Link Policy — An Equal Opportunity University — Webmaster

Last Modified: 11/04/09