RUSM Alumni Classnotes Form

Have you recently celebrated a wedding, baby, new job, promotion, or honor? Been published, moved into a new home, or welcomed a grandchild? Share your news with the RUSM alumni family by submitting a class note.

Submitted and approved class notes will be published in our monthly e-newsletter, and on the class notes webpage. When submitting your class note, please provide as much information as possible. We reserve the right to edit your note for RUSM style and length.

Thank you for taking the time to correspond with us!

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* 1. PERSONAL/CONTACT INFORMATION

First Name:

Middle Initial:

Last Name:

Last Name (if different at time of at time of graduation):

Graduation Year:

Preferred Phone Number:

Preferred Email Address:

Home Street Address 1:

Home Street Address 2:

Home City:

Home State/Province:

Home Zip Code:

Home Country:

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* 2. PROFESSIONAL INFORMATION

Current Employer:

Current Title (Resident, Fellow, etc.):

Current Specialty:

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* 3. Select Update Category:

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* 4. Class note update:

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* 5. Upload Photo:

Photos must be 300 kb or larger to be considered for RUSM Alumni social media sharing. Please submit the original photo, without resizing, for best results.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 6. Permission/Disclaimer:

Please share my submission as a class note to be published in the RUSM Alumni eNews, RUSM Alumni social media pages, and the RUSM Alumni classnotes webpage.

I do not want my class note to be published online