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First Name *
Last Name *
Former Full Name
If different while you were a student
Email Address *
Mobile Phone Number *
Net ID
If you have your Net ID, this will help us locate your record
Graduation Year *
Year noted on your Diploma. Please note that incorrect dates may make it impossible to identify your alumni record and we will be unable to update that information.
Major *
Address Type *
Street Address *
Apartment or Unit *
City *
State *
Zip Code *
Current Employer
Job Title
Personal Website
Leave it blank if not applicable
Were You a Student Athlete? *
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This form was created inside of Cal State East Bay.