Department of English

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SCHOOL OF SOCIAL SCIENCES – DEPARTMENT OF ECONOMICS
SEPARATION NOTIFICATION
Name:
Separation Date:
Would you like to be added to the alumni listserve?
(To be used only for department business)
□ Yes □ No
Email Address: (NOT your uci email)
Phone: (optional)
Future Employment Information:
School/Business Name and Address:
Future Position Title:
Future Employment Duration:
Please submit your dissertation abstract to the Economics Department along with
this form before your final day at UC Irvine.
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