Information Update Form : Parents : University of Rochester

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 first and second parent's 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
(Please be sure to complete all information requested
in both the first and second parent's sections.)

Student's Section

* First Name:
* Last Name:
* Home Address:
* City:
* State:
* Zip Code:
* Home Phone:
* Date of Birth:
* Class Year:	(Student's Anticipated U of R Graduation Class year.)
Check if Appropriate:	Parents Divorced Parents Separated Father Deceased Mother Deceased Father Remarried Mother Remarried
Stepmother's Name:	(If Applicable)
Stepfather's Name:	(If Applicable)
High School Name:
City:
State:

First Parent's Section

Gender:
Relationship:
Marital Status:
Salutation:
First Name:
Last Name:
Home Address:
Home City:
Home State:
Zip Code:
Country:
Home Phone:
Preferred Fax:
Preferred Email:
College Attended:
College Degree:
College Class Year:
Graduate School Attended:
Graduate School Degree:
Graduate School Class Year:
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

Gender:
Relationship:
Marital Status:
Salutation:
First Name:
Last Name:
Same Address as First Parent:	Yes (Check box above if home address is the same as the first parent section.)
Home Address:
City:
State:
Zip Code:
Country:
Same Home Phone:	Yes (Check box above if phone is the same as in first parent section.)
Home Phone:
Preferred Fax:
Preferred Email:
College Attended:
College Degree:
College Class Year:
Graduate School Attended:
Graduate School Degree:
Graduate School Class Year:
Occupation:
Name of Firm:
Position:
Business Address:
Business Address 2:
Business City:
Business State:
Zip Code:
Business Phone:
Boards and Volunteer Activities:

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 Year:
Relation to Student:
Name:
Class Year:
Relation to Student:
Name:
Class Year:
Relation to Student:

Grandparents who should receive UR Mailings

Name:
Email:
Address:
City:
State:
Zip Code:
Name:
Email:
Address:
City:
State:
Zip Code:
Name:
Email:
Address:
City:
State:
Zip Code:
Name:
Email:
Address:
City:
State:
Zip Code:

Comments and/or Questions

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Arts, Sciences and Engineering

Update My Information

Parent Information Update Form
(Please be sure to complete all information requested
in both the first and second parent's sections.)

For Parents:

Arts, Sciences and Engineering

Update My Information

Parent Information Update Form (Please be sure to complete all information requested in both the first and second parent's sections.)

For Parents:

Parent Information Update Form
(Please be sure to complete all information requested
in both the first and second parent's sections.)