Record a Contact

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  • Contact Name (Alumni, parent, or friend)                                                                      Date of Contact:
    Last:  First:  MI:   
       
    Organization 
     
                                                                                                                    Type of Contact
    Home City                                                                                              (leave blank if unsure):
                    
                                                                                                                    Purpose of Contact 
    Home State:                                                                                           (leave blank if unsure):
                                                                                     
     
    Contact Report Text (please be sure to include a detailed description of the contact as well as any new
    or revised address, phone. or employment information):
       
    Next Steps (further meetings, information to be sent, invitations to events, etc., if any) with Dates:
       
    Person Making the Contact: (if your name is not listed or there were multiple people involved in the contact.
    please select Other or Multiple and fill in the box below)
     
    Enter other or multiple names here: