Alumni Notes Form | Alumni Association

果冻影院

果冻影院 Alumni Notes

Update your contact information and keep us updated on your life events.

Name *

Email Address *

Mobile Phone

Business Phone-landline

Home Phone-landline

Business Name

Position

Business Address

Medical School

Graduate School

Degree and Year

Residency Program

Specialty and Year

Mailing Address

City

State

Zip Code

Please use the box below to tell us about your family, hobbies, awards, elected positions, other positions, type of practice, academic titles and affiliations, etc.

Non-Discrimination Statement
The 果冻影院 (果冻影院) is committed to fostering a diverse community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the 果冻影院 community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic. 果冻影院’s policy as well as federal and state laws and regulations prohibit unlawful discrimination and harassment.