- CHDS Alumni Information Update Form -
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Haga clic aquí para formulario en Español
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Personal Information
Name
(Rank, First, Last):
Rank:
First:
Last:
Phone Numbers:
Country Code:
City Code:
Office Telephone #:
Home Telephone #:
Mobile Telephone #:
Personal E-mail 1:
Personal E-mail 2:
Work E-mail:
Employment
Current Position:
Current Organization:
Additional Information
Are you active in the CHDS alumni association for your country?
Yes
No
If your country does not have an alumni association, would you be interested in helping organize one?
Yes
No
Do you utlize the library database resources (MERLN)?
Yes
No
Do you need your Blackboard (access to MERLN) password reset?
Yes
No
Recent Achievements
Please use this section to list any recent promotions, publications or professional achievements.
s
Comments
Please use this section for any additional comments.