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Name of deceased alumnus/a: 

Date of Birth:   (mm/dd/yyyy)

Date of Death:   (mm/dd/yyyy)

Class year:

City:

State: Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Tell us about their life and their connection SCSU:

Submitted by:

Phone:

Relationship to Alumnus/a:

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