Alumni & Friends - PSNES - Alumni Update

We want to keep our members informed so please take a moment to update your information on the form below. Please fill in only the information that needs updated.

Or you can print the form and send it to the address below:

The Pennsylvania State University
Department of Mechanical and Nuclear Engineering
Attn: Penn State Nuclear Engineering Society
132 Reber Building
University Park, PA 16802
PH: 814-863-5701
FAX: 814-863-6382

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For verification purposes please fill out your first name, last name and e-mail address below (this information must match the information we currently have on file).

First Name: Last Name:

E-Mail:

Update Personal Information Below
(only fill in the information that has changed)

First Name:

Middle Initial:

Last Name:

Home Address: Steet Address:

P.O. Box:

City:

State:

Country:

ZIP:

Home Phone:

Preferred E-Mail:

Graduation Date: Degree:

Major: Institution:

Graduation Date: Degree:

Major: Institution:

Graduation Date: Degree:

Major: Institution:

Graduation Date: Degree:

Major: Institution:

Update Employment Information Below(Optional)
(only fill in the information that has changed)

Company Name:

Title you hold in company:

Business Address:

Street Address:

Address line 2 (if needed)

City:

State:

ZIP:

Work Phone:

Work E-Mail:

Number of years with current employer: