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What’s New With You?

NAME

___________________________________________________________________________________________________

(include student/maiden name if applicable)

YEAR OF GRADUATION

PLACE OF BUSINESS

_____________________________

_______________________________

___________________________________________________

HOME ADDRESS

___________________________________

___________________________________________________

___________________________________________________

BUSINESS ADDRESS

___________________________________________________

________________________________

_____________________________________________________________

HOME TELEPHONE (

) __________________________

____________________________________________________________

EMAIL ADDRESS

___________________________________

WORK TELEPHONE (

) __________________________

___________________________________________________

BRIEFLY DESCRIBE YOUR PROFESSIONAL ACTIVITIES AND OTHER INFORMATION YOU WANT YOUR CLASSMATES TO KNOW:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

Please return this form to:

University of Michigan · School of Social Work · Ongoing 1080 South University Avenue · Ann Arbor, MI 48109-1106

Or email ssw.development@umich.edu. To inquire about submitting a photo with your class note, please email ssw.development@umich.edu. Visit our website at www.ssw.umich.edu and enroll in our online alumni volunteer directory and database.

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