Alumni Database Form

Please fill out the form below to be added to the Yale SOM Veterans Alumni Directory and enjoy networking benefits with current students and fellow alumni. The directory is proprietary to SOM Veterans, and is password protected from general public access.

Please complete the form below

First Name

Last Name

Country of Service

Branch of Service

Military Occupational Speciality

Undergraduate (Institution)

Undergraduate Year

SOM Graduation Year

Industry

Current Employer

Current Position

Email Address

Phone Number

(###)

###

####

LinkedIn URL

http://

Contact by Current Students

Yes

Additional Information

Joint Degree?

F&ES

Jackson

YLS

MPH

Drama

Please email club-veterans@som.yale.edu with feedback and suggestions.

Expect an email containing directory login information within 24-48 hours of submission.