Alumni Directory Information Form

Thank you for filling out the MIAD Alumni Professional Directory Information form.

Name*
First Last Name while Attending MIAD (if different)
Last Year Attended*
Major*
Please select your Primary Major
Major Note
Double majors, minors, MSA/Layton majors, etc.
Graduation Year
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Home Email*

(for MIAD use only)
Title or Occupation
Business Name
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Phone
Website
Business Email Address

(this will be published in the Online Directory)
Areas of Specialization
(this will be published in the Online Directory.)
Biography
This will be published in the Online Directory.)
Additional Information
Anything else you'd like to share with the MIAD Alumni office or the Alumni Association? Are you married to a MIAD alum? Parent of a MIAD student? Etc... (this will be NOT published in the Online Directory)
I authorize MIAD to publish this information online in the MIAD Alumni Professional Directory.*
You may use this form in a couple of different ways. If you simply wish to update your contact information for MIAD and the MIAD/MSA/Layton Alumni Association, select "No" here. If you wish to have your information published on the Online Professional Directory, select "Yes" here and be sure to include your Business E-Mail address.
Phone
This field is for validation purposes and should be left unchanged.