Submit Update

Let the School of Medicine know what’s new with you! Information submitted will help to keep your profile with Indiana University current and may be published in the School of Medicine’s Vital Signs newsletter. Feel free to share as much or as little as you’d like, paying particular attention to complete your business information.

Required fields are marked with •.

Personal Information

First Name•

Last Name•

Degree•

Regional Center•

Graduation Year•

Home Address

City

State/Province

Postal Code

Moved in previous 12 months? No Yes

For international addresses outside of North America, please enter below.

Phone• — —

E-mail•

Career Information

Organization

Position Title

Specialty

Business Address

City

State/Province

Postal Code

Phone — —

Fax — —

Preferred Mailing Address Home Work

Significant Other

First Name

Last Name

Degree

Institution

Graduation Year

Children

Child 1

Age

Child 2

Age

Child 3

Age

Alumni Information

Who was your favorite faculty member? Why?

What is your best medical school memory?

Career Highlights, honors and awards, accomplishments

Were always searching for alumni updates to share with colleagues. Include recent activities, travels, family changes, hobbies, or other information you would like to share with others.

What else would you like to tell us about you?

Submit your photo

By submitting your photo online, you give permission to the IU School of Medicine Alumni Association to publish this photo both online and in print.
Images should be 300 dpi and at least 4x6 inches. File size must be no larger than 3 MB.

How would you like to stay involved in the Medical Alumni Association? Mentor an IUSM student
HOST a student Learn More
Receive IUSM's Vital Signs publication Learn More
Reunion Planning Committee
Medical Alumni Council leadership role Learn More
Donate funds for student scholarships Learn More

How were you referred to the IUSM Alumni Association site? IU School of Medicine web site
Vital Signs
Colleagues / Classmates
Communications from IUSM Alumni Association
Other
Not Applicable

Questions? Contact Michael Halliburton, (317) 274-8828 or mchallib@iupui.edu.

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