Update Your Information and Volunteer Interest Form

Your Name

First Name

Middle Name

Maiden Name

Last Name

Spouse/Partner Name

First Name

Middle Name

Maiden Name

Last Name

If yes, please indicate graduation information in the box below.

Is your spouse/partner an alumnus?

If yes, please indicate graduation information in the box below.

Yes

Graduation Information

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Contact Information

To update international addresses, please contact Dentalum@uic.edu.

Address

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Home

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Personal

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Do you use social media? If so, please add your Twitter handle and LinkedIn url.

Any other news such as major life event, job advancement, relocation, military tribute, etc.? Birth Announcements — Please include name and birth date, Death Announcements — Please indicate date of passing and person's city/town of residence, Marriage Announcements — Please include date and both names and graduation years (if applicable).

Would you like to add a photo? Disclaimer: Photos may be used in upcoming publications. Please include a caption in the box below. (maximum file size: 15M)

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Work Address

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Tell Us How You’d Like to Engage with the College

We are searching for volunteers who are leaders in their communities, forward-thinking dental professionals who enjoy team work and want to contribute to changing the future or oral healthcare in various ways at the College. Opportunities include but not limited to:

Please indicate your areas of interest:

Serving as a board member of the Dental Alumni Board of Directors

Serving as a committee member on the Dental Alumni Board of Directors

Volunteering as a class representative during your reunion year

Volunteering as a judge for Clinic and Research Day

Speaking to a classroom

Serving as a site for students/alumni to shadow you

Illinois Connections Advocate

Other

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