*
= Required Field
Last name
(as it should appear):
*
First name:
*
Year:
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Surname before marriage
(if different):
Initial:
Degree:
Northwestern School:
AF - Air Force Commission
C - Communication (Speech)
CB - Chicago Business
CPS - Center for Public Safety
D - Dental
EB - Evanston Business
FSM - Feinberg School of Medicine
G - Graduate
GC - Graduate Communication
GD - Graduate Dental
GSFM - Graduate Feinberg School of Medicine
GJ - Graduate Journalism
GL - Graduate Law
GMcC - Graduate McCormick School of Engineering
GMu - Graduate Music
GSESP - Graduate School of Education and Social Policy
H - Honorary
J - Medill School of Journalism
KSM - Kellogg School of Management or Graduate Business
L - Law
McC - McCormick School of Engineering and Applied Sciences
Mu - Music
N - Nursing
Nav - Naval Commission
PT - Physical Therapy
SCS - School of Continuing Studies
SESP - School of Education and Social Policy, Education
Tns - Transportation Center
WCAS - Weinberg College of Arts and Sciences, Liberal Arts
New Street Address:
*
New City:
*
Work Phone:
Fax:
Employer:
Title:
New State:
*
New Zip:
*
Home Phone:
E-mail:
*
Job Location:
Send us your request by mail
Editor
Northwestern
magazine
1800 Sheridan Road
Evanston, Ill.
60208-1800
Fax: 847-491-3040