Personal Information

Name *

First

Last

Email Address *

Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone Number *

###

####

Title or Profession

Employer

Any Former Names Used

MICA Graduation Year

Additional Graduation Year

Undergraduate Major or Graduate Program

Update Your Information

Update my information

My contact information has changed. Please update your database with the information provided.

Please publish my email address in the InTouch Alumni Online Directory.

Your Question

Please publish the following news in Alumni Notes:

Spam Prevention *

Please help us prevent spam by using the reCAPTCHA below.