SOUTHEAST MISSOURI STATE UNIVERSITY
DEPARTMENT OF HISTORY
Information Sheet for PASTSCRIPT
Please fill out and submit
OR E-mail to Bonnie Stepenoff at:
bstepenoff@semo.edu

First Name      Last Name   Maiden Name

Address     City   Zip

e-mail      Phone

Year Graduated:         Degree:  Social Studies    Historic Preservation   BA in History   MA

Occupation:        Employer 

Recent Honors:

Interests : 

Items to include in Pastscript

Nominee for Distinguished Alumnus

Would you like to be included on the mailing list for special events such as the Dugger Lecture?

Yes    No