Information Form I was an NMHU Student? (Required) Yes No   Mr. Mrs. Ms.      Name: (Required) Name While Attending NMHU: Email: (Required) Mailing Address: City: State and Zip Code: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN 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      Telephone Number: Optional Personal Information Sex: Male   Female   Date of Birth: Date Last Attended NMHU: Major(s): Degree(s) and Year(s): Extracurricular Activities at NMHU: Marital Status: Single   Married   Spouse's Name: Spouse's Maiden Name: Optional Employer Information Employer: Your Position: Business Phone: Employers Address:   Comments/Questions: Please describe comments or questions here. Validation code: Please enter this validation code in the box above without spaces.