Information Update form for Parents : Arts, Sciences, Engineering

Update my Information

Below you will find a form to update your University contact information. We are working hard to have current information for all of our parents. This will enable us to send you updates about the College and also help us communicate with you in the event of any emergencies on campus. Please be sure to complete all information requested in both the Parent 1 and Parent 2 sections.

PRIVACY INFORMATION: The Information provided on this form will only be used by offices within the University of Rochester for University related activities. The information will not be sold to a third party.

Parent Information Update Form

Student's Name:
Student's Class year:

First Parent's Section: (please check the appropriate boxes below)

male	female
parent	stepparent
married	separated
divorced	remarried
deceased
Salutation:
First Name:
Last Name:
Home Address:
City:
State:
Zip Code:
Country:
Home Phone:
Preferred Fax:
Preferred E-mail:
College Attended:
Occupation:
Name of Firm:
Position:
Business Address:
Business Address 2:
Business City:
Business State:
Zip code:
Business phone:

Boards and Volunteer Activities:

Second Parent's Section: (please check the appropriate boxes below)

male	female
parent	stepparent
married	separated
divorced	remarried
deceased
Salutation:
First Name:
Last Name:
Home Address:
City:
State:
Zip Code:
Country:
Home Phone:
Preferred Fax:
Preferred E-mail:
College Attended:
Occupation:
Name of Firm:
Position:
Business Address:
Business Address 2:
Business City:
Business State:
Zip code:
Business phone:

Boards and Volunteer Activities:

Number of other Children:

Name:		Date of Birth:
Name:		Date of Birth:
Name:		Date of Birth:
Name:		Date of Birth:

Family members who have attended the University of Rochester:

Name:	Class:	Relation:
Name:	Class:	Relation:
Name:	Class:	Relation:

Comments and/or questions:

Update my Information

Parent Information Update Form

For Parents:

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