Info Update Request

Use this form if:

1) You are an alumnus or faculty and you are registering for the first time.
2) You wish to change your information and do not have an email address.
3) You wish to submit information for another alumnus.

Please use proper case and punctuation,
e.g.     Mr. Carroll N. Rogers
Do NOT use all UPPER CASE or all lower case.
Incorrect formats will have to be retyped by our webstaff.

* required fields

Title (e.g. Mr. Dr. Rev.)
First Name * (include middle initial)
Last Name *
Class Month
Class Year * (last two digits only, e.g. 72 for 1972)
Email Address
Status (Active if your address will be on file)
Date of Death (mm/dd/yyyy - for Deceased only)

Mailing Address (if making changes, please fill-in complete address)
Address Line 1
Address Line 2
State (e.g. NY, CT)
Postal Code (Zip Code or Zip + 4)
Country (leave Blank if USA)

Phone Numbers
Home Phone

Note (255 characters)
Enter any additional info that might help identify yourself.