ID # Database Yes No CAMPUS ACTIVITY CODES

Alumni Files Update Oklahoma Rehabilitation ACI Alpha Chi* ORA Name at Langston University C.A

AKA Alpha Kappa Alpha* OPP Omega Psi Phi* Year Graduated Major APA Alpha Phi Alpha* PBS Phi Beta Sigma* AMB Ambassador PMA Phi Mu Alpha BND Band PAC Pre-Alumni Council Second Year Graduated Major BSB Baseball PSY Psychology Club BSK Basketball SCC Scholar’s Club Name BIO Biology Club SGA Student Gov’t Association CHL Cheerleader SIF SIFE CHC Chemistry Club SAI Sigma Alpha Iota* Address CHI Chi Sigma Iota SGR Sigma Gamma Rho* CHR Choir STT Sigma Theta Tau City State Zip CMN College Men SBL Softball CWN College Women SCO Sociology Club DTM Dance Team SRC Soccer Club HM Phone# Cell Phone# DEB Debate Club SAB Student Act. Board-OKC Delta Mu Delta Honor DMD TBS Tau Beta Sigma* Employer Position Society DST Delta Sigma Theta* TRB Tau Rho Beta ENG English Club TRF Track/Field WK Phone# Fax# FAC FAC’s Club TRA Trainer (Athletics) FBL Football VLB Volleyball Email GPD Gamma Phi Delta YRB Yearbook HTH Health Administration ZPB Zeta Phi Beta* IHS International Honor Society 4-H 4-H Club Spouse Information Attended LU KAP Kappa Alpha Psi* Yes No KKP Kappa Kappa Psi* I am interested in an Alumni Membership Yes No LNC LINC I am interested in a Chapter Yes No MAR M.A.N.R.R.S MAS Mason Comments Miss Black Langston MBL Add Activity/Club not listed University MLU Miss Langston University MSO Miss Orange & Blue Return to: Langston University (405) 466-2999 MRL Mr. Langston University NAA NAACP Office of Alumni Affairs FAX (405) 466-2914 NAS NASA P.O. Box 1500 Email: [email protected] NBA NAOBA Page Hall Room 304 www.langston.edu NBC Nat’l Assoc of Blk Crim. Just. Nat’l Assoc of Broadcast Langston, OK 73050 NBJ Journ. NCO NCONW OFFICE USE ONLY Alumni Data Membership Data NUR Nursing !

Deceased Data Good Address Data ! NDC Nutrition/Dietetics Club *Greek Organizations Email Data Word Data Mark all that applies Web Page Data