RUSM Alumni Information Update Form

Please update your contact details and

share your volunteer interests.
Thank you!

Full Name *

Company/Organization

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number

Specialty

Program

Sub-specialty

Program

Speak at a local admissions event

Connect one-on-one with an accepted / prospective student

Mentor current students

Give a guest lecture (virtual or on-site)

Organize or host an alumni event

Other (please specify)