Alumni Information Update Form

Stay Connected! If you are a CSU Dominguez Hills graduate, please help us keep your contact information current by filling out the form below.


* = Required field


Personal Information
 
*  

(MM/DD/YYYY)     
 
 
  *  
Home Phone () -
Cell Phone () -  
   
 
Employment Information
Street Address 2
City
State     
Country
Business Phone () -  
Business Fax () -  
Education Information (CSUDH only)
Grad Year 1 (Spring 2009)
Grad Year 2 (Spring 2009)
Grad Year 3 (Spring 2009)
(List all - e.g. honor society, athletics, student org., Greek org...)
Family Information
Is spouse a CSUDH Alum?  
Other Information
Submit   Reset
If you have questions or need help on this form, please contact the IT Help Desk at (310) 243 - 2500 or via e-mail at helpdesk@csudh.edu or submit your help web ticket here.