Update Your Alumni Information

HMC

* UB Class of:
* Name:
Current Address:
Current Phone:
Permanent Address:
Permanent Phone:
Cell Phone:
*E-mail:

POSTSECONDARY EDUCATION INFORMATION

* Current College or University:
* Enrollment Date: (month, day, year)
* Enrollment Status:	Full Time Part Time Varied
* Major:
* Financial Aid Package (for first year only):
* Current College Grade Level:
* Academic Standing:	Good Fair Academic Probation
* Certificate or Degree Completed:
* Previous College or University:
* Enrollment Dates:

Would you like to participate as a UB mentor (college panel, tour guide, etc.)?	Yes No, thanks Maybe later

Would you like to be profiled on the Upward Bound/HMC website?	Yes No, thanks