Alumni Affairs

Main Content

Class of 1968 Bio Book

We will compile a comemorative book honoring the Class of 1968, complete with contact information and any personal and professional updates you want to share. Please complete the form below, or contact the Office of Alumni Affairs at 601.984.1115 with any questions or to request a paper copy of this form. 

Please provide this information by July 20, 2018. 

Medical Reunion Bio Information



* = Required Fields

* 
* 
City/State/Zip Code*
 
Zip Code -  
Phone Number() - ext.
Retired?

*.gif,*.jpg,*.jpeg,*.bmp,*.png,*.tif,*.tiff