PHC Alumni Association

User account

Please use your first and last names as your username with a period in the middle. For example if your name is John Smith please use the username (John.Smith). If you name is already taken or if you'd like to distinguish yourself from others with identical names you can add a middle initial (John.A.Smith)

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Name and Contact Info

Salutation:

First Name: *

Middle Name/Initial:

Last Name: *

Suffix:

Address Line 1: *

Display Address Line 1 publicly

Address Line 2:

Display Address Line 2 publicly

City: *

Display City publicly

State: *

Display State publicly

Zip: *

Display Zip publicly

Country:

Display Country publicly

Phone:

Display Phone publicly

Picture

Upload picture:

Your virtual face or picture. Maximum dimensions are 85x85 and the maximum size is 30 kB.

Other

Major:

Graduation Year:

Maiden Name: