Member Registration Form

Become a member of University Housing Alumni today! Stay connected with University Housing by registering to receive email communications about special events and department updates.

Your Information

First Name

Last Name

Address

Street

City

State

Postal Code

Contact

Phone Number

Email

Do you have an alternative contact?

Yes

No

Alt. Contact

Alternative Phone Number

Alternative Email

Position(s) held at University Housing

Position

Hall

Year started

Year ended

Held other positions?

Yes

No

Position(s) held at University Housing

Position 2

Hall

Year started

Year ended

Held other positions?

Yes

No

Position(s) held at University Housing

Position 3

Hall

Year started

Year ended

Held other positions?

Yes

No

Position(s) held at University Housing

Position 4

Hall

Year started

Year ended

Held other positions?

Yes

No

Position(s) held at University Housing

Position 5

Hall

Year started

Year ended

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