New Alumni Form

Request to Become an Alum of
Lewis & Clark College

Please fill in the following form and the information update form (link provided below) to have your alumni record created, receive an alumni card (alumni benefits), the Chronicle, and notices of reunions and campus activities.

If you received a degree from Lewis & Clark College, Lewis & Clark Graduate School, or Lewis & Clark Law School you are an alum of the College. Those who attended Lewis & Clark College for at least two semesters or three quarters as a degree seeking candidate are considered an alum.

Please fill in the form as completely as possible. Thank you for reconnecting with your Alma Mater! We look forward to hearing from you.


Preferred Salutation	Dr.Mr.Ms.Mrs.Miss.
First
Middle
Last
Maiden
Former
Address
City
State & ZIP
Country
Home Phone
Email
Date of Birth
Terms (or semesters) and year(s) attended (please guess if you do not know for certain).
Reunion year you would like to be associated with.
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Request to Become an Alum ofLewis & Clark College

Request to Become an Alum of
Lewis & Clark College