Name *
Name
CURRENT MAILING ADDRESS
Current Mailing Address
Current Mailing Address
Phone
Phone
PERMANENT MAILING ADDRESS
Check here if your permanent address is the same your current address listed above
Permanent Mailing Address
Permanent Mailing Address
Phone
Phone
COLLEGE / UNIVERSITY INFORMATION
LIFE UPDATE AND CLASS NOTE
This information will appear in Kamiano Magazine, Damien’s quarterly magazine. You might include additional details on family, hobbies, or work updates. Your note may be edited prior to submission to the magazine.

Any questions or comments please contact Eddie Klaneski at alumni@damien.edu