Update Your Record

Notify us of any changes of address or employment by completing the form below. We appreciate you keeping in touch!

Primary Information *Required

Preferred Title:

 

If Other, please provide

*First Name:

Middle Name:

*Last Name:

Birth Name:

*UI Degree:

*UI Graduation Year:

UI Major:

Degree(s) from Other Institutions:

Do you have a military address?    

*Street Address:

*City:

*State:

(If outside the United States, please choose "N/A" from the menu above.)

*Country:

Province: (If needed)

*Zip/Postal Code:

Home Phone:

Cell Phone:

*Personal Email:

Do you have a child who
might be interested in
attending the UI?

Child's Full Name:

Child's Year of High School Graduation:

Employment Information

Are you retired?

Professional Title:

Employer Name:



Street Address:

City:

State:

(If outside the United States, please choose "N/A" from the menu above.)

Country:

Province: (If needed)

Zip/Postal Code:

Business Phone:

Business Email:

Mailing Preference:

Home Business

Are you currently serving on any corporate boards or directorships?
Please list below.

Spouse/Domestic Partner Information (if applicable)

Preferred Title:

 

If Other, please provide

First Name:

Middle Name:

Last Name:

Birth Name:

Birth Date:

Gender:

Female   Male

Is spouse a graduate of the UI?:

Yes   No

Degree:

Graduation Year:

Degree(s) from other Institutions:


Comments or Questions:

 


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