School Alumni Chapters

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  • Medical Reunion Bio.

    Please fill out the form below for the Medical Class Reunion.

  • Class of 1965 Bio Information

    ATTENTION: Class of 1965.
    Please complete the Medical Reunion Class Survey by JULY 15. We are composing a Commemorative Book honoring our 50 year graduates which will be available at the Medical Reunion on August 28 and 29.

    * = Required Fields

    Address (Home)*
    City/State/Zip Code* -
    Address (Business)
    City/State/Zip -
    Phone (home)()--
    Phone (business)()-- ext.
    Phone (cell)()--
    Practice Specialty
    If yes, year retired
    Residency School(s)
    Res. Graduation Year
    Professional/personal accomplishments since medical school
    Best memory of your time in the School of Medicine
    Classmate whom you have remained in close contact since graduation?
    Favorite faculty and why
    Favorite department and why
    Funniest thing that ever happened to you in medical school
    What has changed most about you since graduation?
    Most unique experience since graduation, outside of medicine
    Do you have children? Names, ages, careers, hobbies
    Special interests, activities, travel
    Please submit a recent photo of yourself