First Name:

Last Name:

Class Year:

Major:
(Academic course of study)

ROTC Yes No

Branch Army Navy Air Force Marines Coast Guard Reserves National Guard

Status Active Duty Veteran On Leave Retired Other

Rank:

If on active duty:
Stationed/Assigned to :

For how long?:

If Retired/Discharged:

Years Served:

Stationed / Assigned to:

Please use the "Comments" box below to provide any information
that would not fit in the above spaces

Contact Information:

Telephone:

Email:

Would you (or the individual for whom you are completing this form)like to receive the Pirate Press, Seton Hall's electronic Alumni newsletter? Yes No

Would you like this email address posted on the Alumni web site so that other Alumni are able to contact you and share news from home? Yes No

Tell us your story:
Whether you are completing this form for yourself or someone else, we want to hear your story. If on active duty, what is your role? Where     have you been? What would you like to share? If retired, what would you say to today's brave men and women? What do you remember most about your service? Write as much as you like. If you are completing this form for or in honor of someone else, please include these details (including your contact information) here.

Alumni Relations will use the information posted here to add the names of active and retired Armed Forces Alumni to a roster on our web site. We may also wish to use the information for future publications, web articles and other tributes to these Alumni. No information contained on this page will be used by the University (except in the case of the Armed Forces Alumni online roster which will include name, rank, status, assignment and email address if specified) until contact has been made with the individual in question.

When you are finished, please click submit  

For questions or assistance please contact Dan Nugent
at 1-800-992-Grad or Nugentda@shu.edu