Lifetime Member Directory Update

First Name *

Last Name *

Street Address *

City *

State *

Zip *

Do you have another preferred mailing address? *

Yes

No

Street Address *

City *

State *

Zip *

Home Telephone *

Cell Phone

E-mail *

Preferred Telephone Contact

Home

Cell

Major

Degree Obtained

Semester/Year of Graduation

Occupation

Name of Company

Add workplace contact?

Yes

No

Work Street Address

Work City

State

Zip

Work Telephone

The University of Texas at Arlington Alumni Association, Inc., is comprised solely of volunteers. We strive to support our alumni, our University, and its students, but we are only able to accomplish our goals with the help of valued alumni like you. We recognize that you have many commitments against your time and promise that we will not overburden you.

Would you like to assist us in any way?

Yes

Not now

Describe the areas for which you would prefer to volunteer