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Please fill out the form below to update your contact information.
Once updated in our records, your name, degree, ATSU school/college, graduation year, address, email, and phone number will appear online in the secure ATSU Alumni Directory. The Alumni Directory is only accessible to alumni with active Alumni Portal accounts using valid login credentials. Other information provided is considered confidential and will be for internal ATSU use only.
If you do not wish to have your contact information included in the directory, please indicate so here:
I do not want my contact information to appear in the ATSU Alumni Directory.
First name (required)
Middle name
Last name (required)
Maiden name
Chosen name (first/middle/last, if different)
Birthday (required - internal use only)
Month (MM)
Day (DD)
Year (YYYY)
Please indicate all the ATSU college/schools and programs from which you graduated:
ATSU College/School
Select college/school: Arizona School of Dentistry & Oral Health Arizona School of Health Sciences College of Graduate Health Studies Kirksville College of Osteopathic Medicine Missouri School of Dentistry & Oral Health School of Osteopathic Medicine in Arizona
Program
Select program: Advanced Education General Dentistry Certificate in Orthodontics-Resident Program Certificate Orthodontics & Dentofacial Orthopedics Doctor of Dental Medicine Orthodontics Advanced Occupational Therapy Advanced Physician Assistant Advanced Physician Assistant-Clinical Medicine Advanced Physician Assistant-Education and Leadership Athletic Training Doctor of Athletic Training Doctor of Audiology, entry level Doctor of Audiology, transitional Doctor of Health Sciences Doctor of Occupational Therapy Doctor of Physical Therapy, transitional Doctor Physical Therapy Extended Physician Assistant Human Movement Medical Infomatics Native American Physician Assistant Occupational Therapy Physical Therapy Physical Therapy Neurologic Residency Physical Therapy Orthopedic Residency Physician Assistant Sports Health Care Certificate Geriatric Health Certificate Health Administration Certificate of Public Health Doctor of Education Doctor of Health Administration Doctor of Health Education Doctor of Health Sciences Human Movement Kinesiology Master Health Administration Master of Geriatric Health Master of Health Education Master of Public Health Master of Public Health-Dental Emphasis MPH Dental Public Health Residency Public Health Dental Emphasis Certificate Doctor of Osteopathic Medicine Master Biomedical Science Doctor of Dental Medicine Doctor of Osteopathic Medicine
Graduation Year
Select year: 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
ATSU College/School 2 (if applicable)
Program 2 (if applicable)
Graduation Year 2 (if applicable)
ATSU College/School 3 (if applicable)
Program 3 (if applicable)
Graduation Year 3 (if applicable)
Email address (required)
Home address (required)
City
State -- Choose a state -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Guam Northern Mariana Islands Puerto Rico United States Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Pacific Armed Forces Others
Zip code
Country -- Choose a country -- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia & Herzegovina Botswana Brazil British Indian Ocean Ter Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos Island Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Ter Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Hawaii Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malaysia Malawi Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherland Antilles Netherlands (Holland, Europe) Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Island Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic of Montenegro Republic of Serbia Reunion Romania Russia Rwanda St Barthelemy St Eustatius St Helena St Kitts-Nevis St Lucia St Maarten St Pierre & Miquelon St Vincent & Grenadines Saipan Samoa Samoa American San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Is Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (Brit) Virgin Islands (USA) Wake Island Wallis & Futana Is Yemen Zaire Zambia Zimbabwe
Home phone number
Cell phone number
Company/Business name
Business address
Job title
Business email
Business phone number
What is your preferred method of contact? (internal use only) Email Mail Call Text
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