Alumni Form
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If you are an alumni of the Fredonia State Chemistry department and would like for us to have your information in our database, please fill out this form.
First Name:
Last Name:
Title:
Dr.
Mrs.
Ms.
Mr.
M.
E-mail Address:
Maiden Name:
Year you graduated:
Degree:
BS
BA
MS
BS/MS
Major:
Chemistry
Biochemistry
Geochemistry
Other
Current street address:
City:
State:
Zip Code:
Employer:
Job Title:
Other Degree:
Web Page URL:
Comments:
Display your Name and E-mail Address on Alumni Page.*
*By selecting this checkbox you grant the Chemistry Department at SUNY Fredonia the right to display your name and e-mail address on the internet.