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For More Information, Contact:

Office of Alumni Relations
Gault Alumni Center
Wooster, Ohio 44691
P: 330-263-2324
F: 330-263-2250
E-Mail: alumni@wooster.edu

Update Your Information

We want to know what you are doing! Keep us informed by filling out the applicable parts of the following form.

Note: fields denoted with an asterisk ('*') must be filled in.

Full Name (first middle last) *:
Class Year *:

Update Your Name

(Choose only one)
Mr. Mrs. Miss
Ms. Dr. Rev.
Other:
First Name:
Middle Name:
Last Name:
Maiden/Former Name:
(Choose only one)
None Jr. Sr.
III IV V
(Choose all that apply)
MD DDS PhD
Other:
Prefered Mailing Name:
Reason for Change:
marriage divorce other Date of Marriage or Divorce

Update Your Home Information

Previous/Current Address
Street (line 1):
Street (line 2):
City/State:
Zip Code/Postal Code/Country
New Address (Previous Address must be filled out if completing this section)
Street (line 1):
Street (line 2):
City/State:
Zip Code/Postal Code/Country
 
Telephone Number:
Fax Number:

Update Your Business Information

Job Title:
Check if this is a new job:
Company Name:
Street (line 1):
Street (line 2):
City/State:
Zip Code/Postal Code/Country
 
Telephone Number:
Fax Number:
Prefered Mailing Address:
Home Business
If you have any alternate addresses (summer/winter home, etc.),
please indicate them in the notes section below.

Update Your E-mail/Home Page Address

Home E-mail:
Business E-mail:
Home Page:
Yes, I would like my home e-mail to be listed in the Online Alumni E-Mail Directory
No, I would not like my home e-mail to be listed in the Online Alumni E-Mail Directory

Update Your Personal/Family Information

Spouse's Name (if applicable):
Is Spouse a COW Alum?:
Yes No
Class Year:
Children & Birthdates Fill out this section and we will send you an official Wooster bib for your new arrival!
(please include name and birthdate)
(please tab between columns)
Advanced Degrees Spell out degree as well as giving abbreviation (i.e. M.Ed., Master of Education), institution, and date
(please tab between columns)

List any news or other notes you would like
us to know or share with your classmates.
Yes, I would like the above notes published in Wooster magazine.
No, I would not like the above notes published in Wooster magazine.

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Last Updated: February 7, 2008 • For more information, contact the Office of Alumni Relations

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