Alumni Weekend Directory Form

The Alumni Office is putting together a Class Directory in honor of your alumni weekend to be distributed to alums who are attending the alumni weekend as well as alums who are unable to attend but request a copy mailed to their home.

PLEASE NOTE: You must submit all of the information that you would like to include in the reunion directory. If you do not submit the form or request that we do not publish your information (by checking our privacy flag below), we will not publish any personal information other than a current class list. For more information on our alumni information privacy policy, please visit http://www.law.upenn.edu/alumni/privacy.html

Note: * denotes a required field.

Privacy Publish my information:
Yes No

Personal Information

*Graduation Class
Degree

Name
Title
*First Name
Middle Name
*Last Name
Maiden Name

Home Address & Contact Information

Street 1
Street 2
Street 3
City
State
Zip Code
Country
E-mail
Phone

Business Address & Contact Information

Street 1
Street 2
Street 3
City
State
Zip Code
Country
Phone

Spouse, Significant Other, Partner

First Name
Last Name
Maiden Name

Children

Add Another Child
First Name
Last Name
Birthday (mm/dd/yyyy)
Relationship

Grandchildren

Add Another Grandchild
First Name
Last Name
Birthday (mm/dd/yyyy)
Relationship

Family News
(400 max chars: 400 left)

Work Status

	Full-Time Semi-retired Retired
Employer Name
Present/Former Occupation
Title

Activities

Any community, education political, or social activities you want to share with your class?

(200 max chars: 200 left)

Favorite Law School Memories
(800 max chars: 800 left)

Interesting Experience

Most interesting experience since leaving law school:

(400 max chars: 400 left)

My Life Since Law School

Please supply your classmates with a brief biography, since graduation. Also, you may list any honors, awards, special achievements, elected or appointed positions held or other information of general interest: