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Middle Name:

Last Name: Required Field

Undergraduate Last:
(if different)

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Nickname/Preferred Salutation:

Pronoun(s):

Graduation Class Year: Required Field

Reunion/Preferred Class Year:
(if different from graduation year)

Additional Degrees and Class Years:

More detailed information about additional degrees and institutions can be included under Education below.

Contact Information

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City:

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Zip:

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Occupation

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Position:

LinkedIn URL:

Family Information

Spouse First Name:

Spouse Last Name:

Spouse Undergraduate Last:
(if different)

Spouse Occupation:

Spouse Class Year:
(if University alum)

If you have family members who attend/have attended University of Hartford, please include their names and relation to you here:

Other Biographical Info

Please list any sororities or fraternities you participated in while at University of Hartford:

Please list any athletics teams you were a member of at the Unversity:

Please list any groups, clubs, or student organizations you were a member of at the University:

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