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    Please provide the following information:

    First name
    Last name
    First name on Student Record (if different)
    Last name on Student Record (if different)
    Student ID # (if you remember)
    Primary Email
    Address 1
    Address 2
    Address 3
    If your foreign region/state is not listed put your foreign address details in the notes/comment field below.

    Primary phone type
    Area code phone number
    Primary phone number (numbers only-no dash)
    Cell phone number

    Graduation year
    Graduation term

    Notes/comments: Please share any other UC Santa Cruz affiliations you may have (e.g., academic major/minor department/s, student clubs, certifications or credentials earned, sports teams participation). Enter foreign address information here as well.
    Do you have any secondary degrees or attended other colleges/universities?


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    **It may take 3 business days for any changes to be made to your account.**

    For questions please call (800) 933-slug (7584) or e-mail alumni@ucsc.edu

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