Alumni/ae In Memoriam Submission Form Alumni/ae In Memoriam Submission Form Thank you for providing information about the passing of a Rensselaer alumnus/a. To ensure accuracy of the database, we ask that if possible you share with us an obituary, mass-card or program from a funeral or memorial service, or a signed letter giving details of date and place of death from a relative or identified friend. Mention of the deceased in "In Memoriam" in Rensselaer magazine will be automatically included when you report the passing using this form. Your Full First Name: Your Last Name: Your Email: Email Confirm Your password must have each of the above components and be at least 12 characters. Does Not Pass Low Moderate Secure Very Secure Re-type your password. Re-type your email. Please verify your input by typing it again. Passwords do not match! Emails do not match! Inputs do not match! Passwords match! Emails match! Inputs match! Passed Alumni/ae Information Passed Alumni/ae First Name Passed Alumni/ae Last Name Passed Alumni/ae Class Year Passed Alumni/ae Degree (if known) Death date (if known) Any additional information you would like to share (link to an obituary, etc.) Please upload any photos or documents you would like to share Please Wait...
