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Citizenship:
Home Phone:
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Home Fax:
E-mail Address:
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Personal URL:
School:
From which school did you graduate? Seaver College Graziadio School of Business and Management Graduate School of Education and Psychology School of Law School of Public Policy George Pepperdine College Military Programs *
Graduation Year:
Year
2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 *
Other Degree/Year(s):
Name of Spouse:
Is spouse a Pepperdine Alumnus?
Yes
No
N/A
If yes, what school?
From which school did you graduate? Seaver College Graziadio School of Business and Management Graduate School of Education and Psychology School of Law School of Public Policy George Pepperdine College Military Programs
If yes, what year?
Year
2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937
Children's names (name, birth dates)
Business Information
Company:
Position/Title:
Address:
City:
State/Province:
Please select...
Alabama (AL)
Alaska (AK)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Florida (FL)
Georgia (GA)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
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Ohio (OH)
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Pennsylvania (PA)
Rhode Island (RI)
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Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
West Virginia (WV)
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Wyoming (WY)
American Samoa (AS)
Federated States of Micronesia (FM)
Guam (GU)
Marshall Islands (MH)
Northern Mariana Islands (MP)
Palau (PW)
Puerto Rico (PR)
Virgin Islands (VI)
Armed Forces Africa (AE)
Armed Forces Americas (AA)
Armed Forces Canada (AE)
Armed Forces Europe (AE)
Armed Forces Middle East (AE)
Armed Forces Pacific (AP)
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Nova Scotia (NS)
Northwest Territories (NT)
Nunavut (NU)
Ontario (ON)
Prince Edward Island (PE)
Quebec (QC)
Saskatchewan (SK)
Yukon (YT)
Other or Not Applicable
Zip/Postal Code:
Country:
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan Republic
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde Islands
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia, Republic of
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Fiji
Finland
France
French Guiana
French Polynesia
Gabon Republic
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Kazakhstan
Kenya Coast Republic
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts-Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Western Samoa
Yemen
Yugoslavia
Zambia
Zimbabwe
Phone:
Fax:
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Industry/Field:
-- Select an Industry --
AC - Accounting
AD - Advertising/Public Relations
AE - Aerospace
AG - Agriculture/Ranching
AP - Arts, Performing/Creative
AU - Architecture/Urban Planning
BA - Business Adminstration/Management
BE - Business Entrepreneur/Owner
BK - Banking
BS - Brokerage/Securities/Investments
BT - Biotechnology
CC - Construction/Contracting
CH - Chemicals/Petrochemicals
CN - Consulting
CO - Counseling
CP - Computing/Information Systems
CS - Communications/Satellite
CV - Civil Service
CW - Communications/Wireless
DE - Dentistry
EA - Education/Administration
EC - Economics
EM - Entertainment
EN - Engineering
EP - Estate Planning/Trusts/Taxation
ER - Energy Resources (Oil, Mining)
ET - Education/Teaching
FO - Foundations
FS - Foreign Service
FV - Finance/Venture Capital
GE - Government Elective
GN - Government Nonelective
GR - Graphic Artist
HM - Homemaker
HT - Hotel/Restaurant/Catering
IB - International Business
IE - Import/Export
IN - Insurance
IW - Internet
JD - Judiciary
LB - Labor/Human Resources
LM - Library/Museum
LW - Law/Law Enforcement
ME - Medicine/Health (support staff)
MF - Manufacturing
MI - Military
MN - Ministry
MS - Merchandising/Sales/Marketing
MU - Musician
NU - Nursing
PH - Physician
PJ - Publishing/Journalism/Writing
PM - Physical Sciences/Math
PR - Pharmaceutical
PT - Printing
PS - Psychologist
RD - Research/Development
RE - Real Estate
RT - Radio/TV/Film
SC - Support staff/Secretary/Clerical
SK - Skilled Artisan/Technician
SR - Sports/Recreation
SS - Social Services
ST - Student
SV - Service
TE - Telecommunications
TK - Technology
TT - Transportation/Travel
UT - Utilities
VL - Volunteer
Other
Please let us know...
I would like to help students in the following ways:
Providing internships
Providing scholarship support
Serving as a career coach/mentor
Speaking about my company or industry
Speaking to prospective students about my Pepperdine experience
I'm interested in attending the following events/games/programs:
Academic lectures/programs
Alumni chapter programs in my area
Career assistance/development programs
Center for the Arts performances (in Malibu)
Travel programs
Weisman Museum exhibits (in Malibu)
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Please include my information in the alumni online directory.
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