In This Section




Online Form


Home | Skip Navigation LinksOnline Form

Update Our Alumni Records!

* Indicates a Required Field

Help us keep you informed about upcoming events and activities!  We'll also make sure you receive the Connection alumni newsletter.  A special welcome to Aultman School of Radiology alums.  Please provide us with your contact information so we can add you to our database and help you connect with your former classmates.

First Name:*
Last Name:*
Maiden Name:
New Address:*
City:*
State:*
ZIP:*
Phone:*
Graduation Year:*
Email Address:
Would you like to receive the Connection alumni newsletter?*
Career news and updates?
Any professional accomplishments you wish to share?
Permission to publish your career/professional accomplishments in The Connection?
How should we contact you?



Copyright © 2014  Aultman College. All rights reserved.   Privacy Policy