Class Note Submission Form
What's New?
Please fill in the form below and let us know. Class Notes information will be updated in Digest and monthly on the Web. All requested information must be provided. We are unable to post incomplete forms. Thank you.
Name
Maiden Name
Degree/Year
Hometown
Phone Number
E-mail address
Professional News:
Accomplishment
Date
Personal News:
Birth:
Date of Birth
Baby's Name
Spouse's Name
Other Children, names & ages
Wedding
Spouse name
Date of wedding
If you wish to submit a picture with your news, please send your completed form along with your picture to:
Office of Alumni Relations and DevelopmentPhiladelphia College of Osteopathic Medicine4180 City AvenuePhiladelphia, PA 19131Please note, pictures will not be returned.
