Your Information:

Please note: only your name, degree/year and submission in the class note information box below will be included in the actual class note. All other information will be used to verify alumni/ae identity and to update our database.

Name:

Degree(s)/Year(s):

Preferred e-mail:

Home Address:

e.g.: 200 Cayuga Street Apt. #2A
Ithaca, NY 14850-2201 USA

Is this a new address?

Yes No

Spousal Information:

Is your spouse a Harvard alum?

Yes No

If yes:

what is his or her name?

in what year did s/he graduate?

and from what school?

Harvard Graduate School of Education
Harvard College
Harvard Business School
Harvard Dental School
Harvard Divinity School
Harvard Graduate School of Design
Harvard Kennedy School of Government
Harvard Law School
Harvard Medical School
Harvard School of Continuing Education
Harvard School of Engineering and Applied Sciences
Harvard School of Public Health
Radcliffe Institute

Employment Information:

Job Title:

Employer Name:

Work Address:

Work Phone Number:

Work Email:

Please check the box at left if you would not like to have your Class Note appear on HGSE's Alumni and Friends website

Class Note:

E-mail Updates from HGSE

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