Alumni Update Form  

We rely on alumni to keep us informed of changes in their name, address, phone number, marital status and employment.  Please complete the form below and submit via email or print the form and mail it to:

Alumni Relations, Tennessee State University
3500 John A. Merritt Blvd
Nashville, TN 37209

or fax it to: (615) 963-5882.

Please enter & submit your information below:

Name Prefix/Title *		  

  If Other:    
First name *  
Middle name    
Maiden name    
Last name *    
Email Address *    
TSU Class Year(s)    
TSU Degree(s)    
     
HOME INFORMATION    
Street Address1    
Street Address2    
City *    
State *    
Zip (xxxxx-xxxx)  *       
Country *  
Phone *    
     
EMPLOYMENT INFORMATION    
Job Title    
Company Name    
Street Address    
City    
State    
Zip (xxxxx-xxxx)     
Country    
Phone
(xxx-xxx-xxxx)		    
Email Address    
     
MARITAL INFORMATION    
Spouse's Information:    
First name     
Middle name     
Maiden name     
Last name     
TSU Class Year(s)     
     
FAMILY INFORMATION    
Do you have a child currently attending TSU?  
   
If so, Child's First name:  
Child's Last name:  
Child's Classification @ TSU: