School of Allied Health Sciences - Alumni Information Update Form

Alumni Information Update Form

School of Allied Health Sciences - Alumni Form

Are you a pending or former MCG School of Allied Health Sciences alumni? We want to know where the road has taken you since your graduation. Please take some time to complete the following form so we can keep our graduate information updated.

Please note that some fields are required (*) before submitting. You will receive a confirmation page after the form is successfully submitted.

Are you currently employed in the healthcare field: (check box if "Yes")
Currently attending Graduate School: (check box if "Yes")
Do you feel you are prepared to work in a culturally diverse population: (check box if "Yes")

Title:	*
First Name:	*
Middle Name:
Last Name:	*
Suffix:
Nick Name:
Maiden Name:
Gender M/F:	*
Date of Birth:

Contact Information:

Address:	*
Address2:
City:	*
State:	*
Zip:	*
Country:	*
Home Phone:
Cell Phone:
e-mail:

Graduation Information:

Graduation Month:	*
Graduation Year:	*
MCG Program:	*
	Please note: Biomed & Rad Sci is the integration of the former depts of Medical Technology and Radiologic Sciences
Graduating Degree:	*
Credentials Earned:
Achievements:
Other:

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Graduate Programs

Clinical Laboratory Science Health Informatics Medical Dosimetry Medical Illustration Occupational Therapy Physician Assistant Physical Therapy

Undergraduate Programs

Biomedical & Radiological Technology Diagnostic Medical Sonography Clinical Laboratory Science Nuclear Medicine Technology Radiation Therapy Dental Hygiene Health Informatics Respiratory Therapy

Departments

Biomedical & Radiological Technology Dental Hygiene Health Informatics Medical Illustration Occupational Therapy Physician Assistant Physical Therapy Respiratory Therapy

Alumni

Submit Contact Information Alumni Association Distinguished Alumnus Awards Make a Gift

Faculty & Staff

Faculty & Staff Login Current Faculty List Faculty Council Faculty Awards

Strategic Plan

SAHS Strategic Plan (PDF)