Alumni Form



* denotes a required field.

First name: *
Middle name: *
Last name: *
Diploma name:
Would you like your address to be visible? Yes No
Address:
Address 2:
City:
State:
Zip code: - *
Would you like your home phone number to be visible? Yes No
Home Phone: - - *
Would you like your work phone number to be visible? Yes No
Work Phone: - -
Would you like your mobile phone number to be visible? Yes No
Mobile Phone: - -
Would you like your e-mail to be visible? YesNo
E-mail
Would you like your web address to be visible? YesNo
Web address:
Degree recieved:
Year graduated:
Semester graduation:
Are you job seeking? YesNo
Publish this info on alumni page? YesNo

OSU Institute of Technology   |   Multimedia Server   |   Online Classroom   |   Contact Us