Mat Rose, OMS IV; Carol Blue, Director of Special
   Projects; Jeffery Stanley, D.O., President, OU-COM
   Society of Alumni and Friends; and Brian Cady, OMS
   IV, Staying Connected at the 2007 OOA Conference.

 

Staying Connected
 
There is nothing your alumni office likes more than having the opportunity to stay connected with you.  Please take a few moments to update your information by filling out the form below.

The information we collect will be used to update our alumni database. Information submitted may also be used in the Class Notes section of future alumni publications
 
   
Personal Information
     
First Name    
Last Name    
     
Year of Graduation    
     
Date of Birth    
     
Home Address  
(please include city, state, & zip)
     
Have you moved or are you planning a move? yes no
If so, please provide date    
     
Primary Email Address    
Secondary Email Address    
     
Home Phone Number    
Cell Phone Number    
Office Phone Number    
     
Please rank  preferred method of contact
  1
(Most)		 2 3 4 5
(Least)
Primary Email
Secondary Email
Home Phone
Cell Phone
Office Phone
     
If you have children, please tell us their names and dates of birth. Be sure to include any new arrivals.    
     
Personal News    
     
Please check and provide details to any/all applicable categories.
     
Received an Award  

   details

    
     
Engaged or Married  
   name of fiancé or spouse    
     
Presented a Program  
   details    
     
Academic/other Appointments  
   details    
     
Pursuing a Fellowship  
   details    
     
Other Academic Endeavors  
   details    
     
Other Accomplishments or News  
   details    
     
Opportunities to Stay Connected with OU-COM
     
Please check all that interest you:
     
Guest Lecturer  
CME Lecturer  
Recruitment Efforts  
Mentorship Program  
Speaker's Bureau  
     
Topic or Area of Expertise    
     
Please include a copy of your CV, if available.    
     
Please send us any digital images you would like to share.    
     
     
Thank you for taking time to Stay Connected with OU-COM!
     

ALUMNI QUICK LINKS
ALUMNI AWARDS
STUDENT ALUMNI PROGRAMS
CLASS NOTES
RECENT ALUMNI FEATURES
MEET THE ALUMNI BOARD
CALENDAR
MEET THE STAFF
USEFUL LINKS
STAYING CONNECTED
OHIO OSTEOPATHIC ASSOCIATION
GIVING TO OU-COM
ALUMNI HOME
   
   
EDUCATION RESEARCH COMMUNITY DIVERSITY HOME
   
  Ohio University
College of Osteopathic Medicine
Grosvenor Hall, Athens, Ohio 45701
740-593-4232
Last updated: 12/18/2007