Alumni Registration

Alumni Relations

Alma Mater

Alumni Profile Form

Alumni Centerfold

Coppin Home Page

Alumni Profile Form

Alumni Relations

Use this form to add your profile to the list of alumni profiles.
The fields with an asterisk (*) are required.

Personal Information

* Title	Dr. Mr. Mrs. Ms.
* First Name
* Last Name
Maiden Name
* Address
* City
* State
* Zip
Home Phone	() -
Cell Phone	() -
Email Address
	*^By providing your email address, you consent to receiving 1 or 2 emails monthly from the Coppin State Alumni Office.**
* First Major
* Year of Graduation (yyyy)
Second Major
Year of Graduation (yyyy)
I am interested in becoming a member of the CSU National Alumni Association.

Employment Information

Position
Name of Employer
Employer Address
City
State
Zip
Phone	() -
Professional Overview: (Please give us a brief summary of your Career)


Include my name on the alumni page.