HMC
Update Your Alumni Information

Let's stay connected! Please fill out this form to provide your most recent information, which the Upward Bound staff will keep confidential. If you encounter problems submitting the form, please contact us at Upward_Bound@hmc.edu.

Upward Bound is raising money for scholarships. Contact us to let us know if you're interested in supporting the cause!

Required fields are marked with an *.

PERSONAL INFORMATION
* 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:
Minor:
* Current College Grade Level:
* Academic Standing: Good
Fair
Academic Probation
* Certificate or Degree Completed:
* Previous College or University:
* Enrollment Dates:
   
GRADUATE INFORMATION (IF APPLICABLE)
College/University Name:
First Enrollment Date:
Enrollment Status:
Program of Studies:
Degree Completed (If Applicable):
 
WORK/OCCUPATION (IF APPLICABLE)
Current Occupation:
Company/Organization:
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