Information Update Form

The information submitted is for official use only. Contact information of alumni will not be released for use in any commercial purposes but to enhance communication, inform you of student networking opportunities, and to share the OMSA Chronicle. Use the form below to update your contact information with the Office of Minority Student Affairs.

Fields marked with an * are required.

Contact Information

XXX-XXX-XXXXX
XXX-XXX-XXXXX

Other Information

XXXX-XXXX