SPH Alumni Contact Form

This is an effort to maintain contact with all alumni of the undergraduate and graduate programs offered by the School of Public Health (SPH). The SPH has a long history at the University of Maryland, and our alumni include graduates from throughout our history, including our earlier identities as the College of Health and Human Performance (HLHP) and the College of Physical Education, Recreation and Health (PERH).

We are collecting contact information and details about how we can continue to serve you. This survey will ask questions related to your needs and interests in the area of continuing education and professional development opportunities. The survey should take less than 10 minutes to complete.

Finally, if you have not received a mailing asking you for up-to-date contact information then we are currently not able to reach you! Please fill out the form below so that we can re-connect.

CONTACT INFORMATION

First Name:  Middle Initial:  Last Name:

Maiden Name (if applicable):

• Permanent Address:
•  
• City:
• State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IN IL KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip:
• Phone Number:
• Secondary Phone Number: 
• Preferred Email Address:

How do you prefer to be contacted? Select your contact preference Email Phone Mail to home Mail to work