Alumni Information Form

Stay connected to Florida Memorial University! If you have moved, married, changed jobs, received a degree or have any new directory information, please take a moment to fill out the form below. Additionally, you may want to send us an Alumni Note. Every FMU Lion has a unique story! Help keep our legacy of leadership, service and character strong and noticeable. Send us news of your personal and professional achievements. They will enrich the pages of our alumni publication, “Lions Roar,” and provide opportunities for recognition and involvement.
Alumni Information Form
Questions marked by * are required.
First Name: *
Maiden Name:
Last Name: *
Email Address: *
Would you like to receive information about FMU via e-mail?

  • Yes
  • No
Birthday: (mm/dd/yyyy)
Address 1: *
Address 2:
City: *
State: *
Zip: *
Home Phone Number:
Cell Phone Number:
Marital Status:
Name of Spouse:
Date of Marriage: (mm/dd/yyyy)
Names and Ages of Children:
Year of Graduation:
Other Education:
Job Title:
Company Name:
Company Address:
Company City:
Company State:
Company Zip:
Greek Affiliation:
Other Campus Activities/Affiliations:
Are you a member of the Alumni Association? *

  • Yes
  • No
Additional Comments/Suggestions: