Class Notes Information Form

Share your news with fellow alumni by completing this form and pressing the continue button on the buttom of the page; or send an email with the information to caseym@ohiou.edu.

First Name:

Middle Initial:

Last Name:

Maiden Name:

Degree:
Year of graduation:

Spouse's name:

Degree (if an Ohio University graduate):

Year of graduation:

Street Address:

City:

State:

Zip:

Business phone (xxx) xxx-xxxx:
Daytime Evening
Home phone (xxx) xxx-xxxx:

Email Address

What kind of news would you like to share:

Any details or things you would like to say:
Fill in your news here!