50th Reunion Yearbook – Reunion Weekend

Thank you for contributing to your reunion yearbook! Each year, the UW School of Medicine Alumni Association compiles a reunion yearbook for the 50th reunion class. It’s a collection of biographies of members of the class, recording personal and professional accomplishments, medical-school memories and other updates. Started in 1999, the collection of reunion yearbooks is a treasure trove of information about the early years of the School of Medicine and the achievements of its graduates.

We recommend you start by typing your responses into a Word document. This will allow you to save and come back to your document, and you can keep a copy for your records.

Download the yearbook template (docx).
See a sample submission.
Questions or technical difficulties? Please email medalum@uw.edu.
Name*
First Middle Last
Home contact information
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Work contact information
Are you currently practicing?
- Yes
- No
When did you stop practicing?
Employer
Work address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work phone
Work email
Historical Summary
Date of birth
Birthplace
Marital status
Name of current spouse/partner
Name(s) of previous spouse/partner(s)
Children's names
Grandchildren's names
UW Medicine graduation year
Preferred class year (if different from graduation year)
Residency
Residency Year (if applicable)
Residency Specialty
Residency "Other" specialty
Residency Institution
Fellowship
Fellowship Year (if applicable)
Fellowship Specialty
Fellowship "Other" specialty
Fellowship Institution
Written responses
Provide simple (unstyled) paragraphs of text.
Professional activities and memberships
Military service (please list branch, years served, awards)
Hobbies and personal interests (Suggestion: 250 or fewer words)
Significant career or personal highlights since graduation
(Suggestion: 250 or fewer words)
See a sample response.
Significant career or personal highlights since graduation
Favorite UW School of Medicine faculty members (Suggestion: 250 or fewer words)
Memories from the UW School of Medicine
(Suggestion: 250 or fewer words)
See a sample response.
Memories from the UW School of Medicine
Words of wisdom
What advice would you give to medical students who are about to start their clinical rotations or residency? We will share your words of wisdom with students at key milestone events, such as graduation.
(Suggestion: 30 or fewer words)
Words of wisdom
Photos
If you would like to share a photo of yourself, your family, your practice -- especially older photos -- we'd love an electronic copy.
Accepted file types: jpg, gif, pdf, png, Max. file size: 50 MB.
Acceptable formats include .jpg, .gif, .png and .pdf files. The resolution of the photo should be 300 dpi or higher. If you'd prefer to mail us a copy of your photo, send it to UW Medicine Alumni Relations, Box 358045, Seattle, WA 98195-8045.
You must check one of the following before submitting this form/additional documentation.*
- A. Yes, you may publish this material so that it is only shared with my classmates. I understand that any information I submit may be edited for length or content.
- B. Yes, in addition to publishing for sharing with my classmates, you may also publish this information in other ways. I understand that the materials I provide may be published on the internet and in other public communications, such as newsletters or emails. The UW School of Medicine's alumni relations office will not post my contact information (phone, mailing address, email).
Clicking "submit" will finalize your reunion yearbook entry. Please take a moment to review your entry for accuracy before submitting.

Home contact information

Work contact information

Historical Summary

Residency

Fellowship

Written responses

Photos