Personal Information

• Name *:
• Home Information *:
  Address Line 1:
  Address Line 2 (if necessary):
  City:
  State:
  Zip:
  Country (optional):
  Home Phone (include area code; optional):
• Is this a new address?
    Yes   No
• Your website/homepage address, if any:
• Your email address *:
• What was the last year you attended UMass Dartmouth? (4-digit year only, please) *
• What degree(s) did you receive? (check all that apply) *
    BA   BFA   MFA   MAE
• What was your major and/or minor? *

Work Information

• Company Name:
• Job Title:
• Work Address:
  Address Line 1:
  Address Line 2 (if necessary):
  City:
  State:
  Zip:
  Country:
  Phone (include area code):
  Fax (include area code):
• Is this a new address?
    Yes   No
• The website/homepage address, if any:
• Your work email address:

Other Information

• Please provide details of newsworthy professional developments you would like us and your fellow alumni to know about. These can include exhibitions, performances, projects, awards and recognitions.
  
•   You have my permission to post my home contact information on the CVPA website.
    You have my permission to post my work contact information on the CVPA website.
    I am interested in being featured in the Alumni Profiles section of the CVPA website.
    I would like to receive the CVPA Arts Events Calendar (a weekly email listing of area exhibitions, openings, lectures, concerts, etc.).