Data Update Form

* First Name:

* Last Name:

* Marital Status:
Select OneSingleMarriedWidowedDivorced

* Name of School:

* Residence:
Select OneI live ON CAMPUSI live OFF CAMPUS

My mailing address while at school:

* Address 2:

Address 2:

* City:

* State:

* Zipcode:

* Is this your address all year round?
Select OneNo, I return will home to my family in the summer.Yes, I this is my address all year round.

* What year are you in school beginning this fall?
Select OneFreshmanSophomoreJuniorSenior5th-Year Senior6th-Year SeniorGraduated

Land Phone:

Cell Phone:

Email Address:

* Major:

* Year I expect to graduate:
Select OneWinter 2012Spring 2013Winter 2013Spring 2014Winter 2014Spring 2015Winter 2015Spring 2016Winter 2016Spring 2017Winter 2017Spring 2018Winter 2018After 2019