Alumni Update Form

You can update your address, phone, or e-mail with us through this online form. Please also feel free to use this resource to share news of alumni who have passed away so we can honor them in our The Beacon publication.

You can also update your alumni record by e-mail to Alumni Relations.

If you would prefer to update your alumni record by phone, please call the Office of Alumni Relations at 541-684-7318.

The Beacon editorial board reserves the right to edit or omit any submissions for publication.

Personal Information
Name
First Last
Maiden Name
Year Graduated from Bushnell/NCU/NCC
Degree Earned
Years Attended Bushnell/NCU/NCC
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Personal Email
Are you a military veteran or active-duty serviceperson?
- Yes
- No
Professional Title
Business/Organization Name
Business Phone
Business Email
Spouse Information (if married)
Spouse Name
First Last
Spouse Maiden Name
Is your spouse also an alumnus of Bushnell?
- Yes
- No
Spouse Professional Title
Spouse Business/Organization Name
Spouse Business Phone Number
Spouse Business E-mail Address
Optional Information
Children’s Names & Ages
Names & Class Years of Children or Relatives who attend(ed) or graduated from Bushnell/NCU/NCC
Tell us your latest personal or professional news for potential inclusion in the Class Notes section of The Beacon publication
Communication Preferences
Would you be interested in receiving university updates or communication materials from Bushnell via E-mail?
- Yes
- No
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Alumni Update Form

Personal Information

Spouse Information (if married)

Optional Information

Communication Preferences