Please help us keep in touch with you by providing updated information on the form below. When you have filled out the form you may click on the submit button to send the information electronically.

If you prefer, you may print the form and mail it to the Alumni Relations Office at:
Alliant International University, 1 Beach Street, Suite 200; San Francisco, CA 94133 USA

Thank you!

Last Name *

First Name *

Name Under Which You Attended The University (IF DIFFERENT THAN ABOVE)

male

female

Current email Address *

Student / Alumni ID number (if known)

I Attended:
*

CSPP/ALLIANT (School of Psychology)	USIU (US International University - Legacy Institution)	CAL WESTERN (Legacy Institution)	CSML/ALLIANT (School of Management) - formerly CSBOS/CSOS/MGSM/ASM
CSOE/ALLIANT (School of Education) - formerly GSOE/HSOE	SFLS/ALLIANT (San Francisco Law School)	CFS/CSFS (Forensic Studies)	OTHER ALLIANT (not listed above)

Campus Attended *

Degree (e.g. MA, PhD, PsyD, EdD, JD, etc.) *

Major (e.g., Clinical Psychology, Teaching, Law, etc.) *

Date of Birth

Graduation Year(s) *

Home Address *

Address 2 (Suite number, etc.)

City *

State *

Postal Code *

Phone Number

Fax

Employer/Business Name

Industry

Title

Work Phone

Business Address

City

State

Zip / Postal Code

Country

Spouse/Partner's Name

Is your Spouse/Partner also a graduate of Alliant or one of our legacy institutions?

yes

If Yes, Class Year(s) and Degree(s)

Would You Prefer to Receive Alliant Alumni Mail at Your Home or Work Address?

home

work

Activities or Clubs You Participated in While At The University

What led you to fill out this online update form today? (e.g., alumni email, alumni postcard, just browsing the web, wanted to be sure I'm included in future alumni updates, etc.)

By checking this box, I certify that this is my current contact information and I am authorizing Alliant International University to update its records with this information. *

Yes. I authorize Alliant International University to update its records with this information.

Optional Information

If you would like to share any message or information with the Alliant Community, please use the space below. Your message may be included in the Alliant Express and/or classnotes section of the CSPP alumni eNewsletter.

Are there other ways you would like to participate with your alma mater?

Do you have any other suggestions for the alumni association? How can we best serve you?

Would you like to be a mentor for a current student?

yes

Would your place of employment be able to provide a field placement for current student/s (e.g., Practicum or Internship Placement)?

yes

Would you be interested in offering reduced fee psychotherapy sessions for current students? (Note: You must be a licensed psychologist and living in the vicinity of one of our 6 CA campuses: Fresno, Irvine, Los Angeles, Sacramento, San Diego or San Francisco).

yes

Would You Be Able To Assist With Job Placement?

yes

Would You Be Able To Be A Guest Speaker For A Class?

yes

Would you be willing to have a prospective student contact you?

yes

Would you like to become involved in recruitment activities in your area?

yes

Are you interested in participating in community service / humanitarian activities with fellow alumni?

yes

Are you interested in online networking with fellow alumni (e.g., LinkedIn, Facebook)?

yes

Are you interested in class reunions?

yes

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