Honors Alumni Form

The Walsh University Honors Program and the Office of Alumni Relations would like to complete the following information to help us update our records and better communicate with you regarding upcoming programming you may be interested in.

Please note that by submitting the form below you are granting the University permission to print your information in University publications, on the website and other materials. (Personal information such as address, phone number and email will not be published.)

Honors Program Alumni Form

* = required

1. * First Name
2. * Last Name
3. Maiden Name
4. * Email
5. * Current Home Address
6. * City
7. * State
8. * Zip Code
9. * Walsh University Class of
10. Major
11. Current Employer
12. Current Position
13. * Do you grant Walsh University permission to share your contact information with other honors alumni?

    1. Yes
    2. No
14. Post Baccalaureate Degree(s)
15. Professional Accomplishments
16. Personal Accomplishments
17. How did your experience in the Honors Program contribute to your personal and professional growth?
18. What is your fondest memory of the Honors Program?
19. Upload a Current Photo

Security Check

1. Please leave this field incomplete