University of Northern Iowa - Official Athletic Site

Personal Information Update

Once a Panther, always a Panther! That's the motto we hope you still live by today. The Athletics Department at the University of Northern Iowa would like to reconnect with you and help you stay "Purple for Life." The UNI Athlete Alumnus is an integral part of the tradition and history of the University. As part of this group, your previous athletic participation has helped shape the athletic programs and philosophies that exist at UNI today. It is vital that former athletes continue to be involved with current athletic programs to foster and promote the family, friendships, discipline, and competitive levels we associate with UNI athletics. We realize not all former student-athletes have an opportunity to return to campus on a regular basis. However, it's our goal to reach out to ALL former UNI student-athletes---but we need your help! If you would like to reconnect with your Panther family, please fill out this form and update us on where you are! Thanks and Go Panthers!

Information About You
	Prefix	First	Middle	Last	Suffixes
Full Name

Maiden Name

Graduation Year		or Last Year Attended

Last Name at Graduation

Birth Date (mm/dd/yyyy)

Occupation			Employer

Information About Your Spouse
	Prefix	First	Middle	Last	Suffixes
Full Name

Maiden Name

Graduation Year		or Last Year Attended

Last Name at Graduation

Birth Date (mm/dd/yyyy)

Occupation			Employer

Your Home Address Information

Street

City		State		or Province

Postal Code

Country

Phone Number	-	or
	[Domestic]		[International]

E-mail Address

Your Northern Iowa Connection

Sport You Competed in at UNI:
Other Activities While at UNI:

Your Spouse's Northern Iowa Connection

Sport You Competed in at UNI:
Other Activities While at UNI:

Your Comments / Questions



Options

Please contact me about ways I can become involved with the Panther Scholarship Club.
I would like to receive information about the Panther Scholarship Club.