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Campus ID or SSN (last 4 Digits) *
First Name *
Middle Name
Last Name *
Former Name
Date of Birth * (mm/dd/yyyy)
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Year (yyyy)
Degree
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First Name
Last Name
CSULB Graduate?
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Were you active in clubs, sports or student government while a student on campus?
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Comments:
Thank you for completing this form. Please click the button below to submit your information.
You can also submit this information via mail to:
CSULB Alumni Relations 1250 Bellflower Boulevard Long Beach CA 90840-0601
