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Information Form: Students, Residents, Fellows

  1. Personal Information
  2. Work Information
  3. UT Health Science Center School Information
  4. Review

Personal Information

Personal Info:
NOTE: You will need your UT Health badge/student ID number to complete this form.
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TITLE
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YOUR INFORMATION
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CREDENTIALS (e.g., MD, PhD, DDS, MSN, DPT)
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HOME ADDRESS (after graduation)
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SPOUSE INFORMATION
SOCIAL MEDIA INFORMATION
Select all the social media channels that you use.
The UT Health Science Center San Antonio will use this information solely for the purpose of communicating with our alumni. These communications include printed magazines, electronic newsletters, event-reminder text messages, and fundraising solicitations. We will not share or sell this information to any third-party vendors. Office of Alumni Relations located in the Academic and Administration Building, 3rd floor.

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UT Health San Antonio
Office of Institutional Advancement
MC-7835
7703 Floyd Curl Drive
San Antonio, TX 78229-3900
Makelivesbetter@uthscsa.edu

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We're a part of the UT Health San Antonio, provider of comprehensive health, dental, & cancer care, advanced academics,  and life-saving research.

Copyright 2011-2023 UT Health San Antonio
Links from web sites affiliated with UT Health San Antonio’s web site (www.uthscsa.edu) to other web sites do not constitute or imply university endorsement of those sites, their content, or products and services associated with those sites.

At UT Health San Antonio, we take your privacy and sensitive information seriously and will not use the information you provide for purposes other than those related to processing your donation or gift. Your personal and financial information will not be shared with third parties other than our contracted payment processing partner. Your financial information is not stored or retained without your express permission for any purposes other than the processing of the donation and providing you with ongoing information about the Alumni program. If you have any questions about this information, please contact a member of the Institutional Advancement team at Makelivesbetter@uthscsa.edu. For more information about the information we collect and why we collect it, please review our Privacy Policy.