Send a Class Note to CLU Magazine

Use this form to notify CLU Magazine about a Class Note you would like to include in the magazine :

First: *  Last: *
Name at Graduation (from CLU): Last:
Phone Home: *  Work:
Address Street:

City: *  State: *

Zip: Country:
*
Undergraduate:
Graduate:
Teaching Credential:
Graduate Degree (M.S., Ed.D., etc):

  • New Address ↓

    New Address
    Street address
    		 *
    City
    		 *
    State
    		 *
    ZIP
    		 *
    Country
    		 *
    Previous location
    (helps us verify our records)
    Street address
    City
    State
    ZIP
    Country

  • Birth/Adoption ↓


    Child's Name
    First:
    		*
    Middle:
    Last:
    		*
    Birth Date:
    Adoption Date:

  • Marriage ↓

    Date of Marriage:
    		*
    Groom's First Name:
    		*
    Groom's Last Name:
    		*
    Bride's First Name:
    		 *
    Bride's Last Name:
    		 *

  • Spouse Information ↓

    Spouse First Name:
    		*
    Spouse Last Name:
    Spouse name at Graduation (from CLU):
    		 *
    Spouse Class Year:
    Undergraduate:
    Graduate:
    Teaching Credential:
    Graduate Degree (M.S., Ed.D., etc):

  • New Job/Promotion ↓

    Your Name:
    		 *
    Title of new position:
    		 *
    Name of employer/institution:
    		*
    Effective Date:
    		 *
    Location of Company
    City:
    		 *
    State:
    		 *
    Country:
    		 *

  • New Degree ↓

    Your Name:
    		 *
    Title of new degree:
    		 *
    Name of institution:
    		*
    Effective Date:
    		 *
    Location of College
    City:
    		 *
    State:
    		 *
    Country:
    		 *
    Field of Study
    		 *

  • Honor/Award ↓

    Name of award:
    		*
    Date received:
    		*
    Organization granting award:
    		*

  • Retirement ↓

    Date of Retirement:
    		*
    Company:
    		*
    Years employeed there:
    		*
    Retirement plans:
    		 *

  • Other News/Comments ↓

    Other News or Comments:
 
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