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Current Information

First name *

Last name *

Email *

Address line 1 *

Address line 2

City *

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Phone number

Date of birth

Name while at Wayne State *

AccessID (if known)

Degree year *

Graduating school/college

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Current employer

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Employer address

Employer phone

4841 Cass Avenue, Suite 2155
Detroit, Michigan 48212 (map)
313-577-2515
313-577-9693 (fax)
clas@wayne.edu

2155 Old Main Bldg (map)
4841 Cass Avenue, Detroit, MI 48201
313-577-2515