Alumni Update Personal Profile:


Please update this screen with your latest information and then click Finish.
Fields with an * are required.
"Share This Info" means OK to make that field's info available to other HCASC alumni on this site.
Last 4 Digits of SS#
(to be used as part of password)*
Salutation*
First Name*
Middle Name
(or initial and period)
Last Name*
Roman
Address Line 1*
Address Line 2 (if needed)
City*
State*
Zip*
Country
(Leave blank if U.S.)
Email*   Share This Info?  No Yes
Phone (xxx-xxx-xxxx)   Share This Info?  No Yes
Work Phone (xxx-xxx-xxxx)   Share This Info?  No Yes
Mobile Phone (xxx-xxx-xxxx)   Share This Info?  No Yes
Facebook Profile Name   Share This Info?  No Yes
Twitter Handle   Share This Info?  No Yes
Instagram Handle   Share This Info?  No Yes
LinkedIn Public Profile Page   Share This Info?  No Yes

Occupation*
What field(s) do you currently work in (choose all that apply)? Education  Science & Technology  Business  Health Care  Legal  Service 
     Other:
Distinctions and Awards
Do you have a message for current players?
Would you like to be a mentor for a current HBCU student in your career field?*     No Yes
If blank, at which school did you participate?