Alumni News Form

Let us know what's new with you. The information you give us will be included in the UMKC Explorer under the Class Notes section. Please submit the form below or send news to:

Office of Alumni and Development
UMKC School of Dentistry
650 East 25th Street
Kansas City, MO 64108-2784

*NOTE: The following information will be transferred as an e-mail message to weberd@umkc.edu. Although unlikely, the data can theoretically be intercepted by a third party.

Your News:

Degree received: B.A./D.D.S. D.D.S. DH
Class of
Name:
Home Address:
Home City:
Home State: Home Zip:
Home Phone:
Office Address:
Office City:
Office State: Office Zip:
Office Phone:
Specialty Certificate or Degree:
Year Awarded:
Spouse's Name:
Children's Name(s):

Preferred mailing address Home Office