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 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 Student's Name:
Home Address:
City:
State:
Zip Code:
Home Phone:
Date of Birth:

Check if Appropriate:

Parents Divorced:
Parents Seperated:
Father Deceased:
Mother Deceased:
Father Remarried:
Stepparent's Name:
Mother Remarried:
Stepparent's Name:

Student's High School Information:

School Name: City:
State:
Student's Class year:

First Parent's Section Gender:
Relationship:
Marital Status:
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 Gender:
Relationship:
Marital Status:
Salutation:
First Name:
Last Name:
Same Address as First Parent:
(Check box above if home address is the same) Home Address:
City:
State:
Zip Code:
Country:
Same Phone as First Parent:
(Check box above if phone is the same) 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:

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:

Grandparents who should receive UR Mailings Name: E-mail:
Address:
City: State: Zip Code:

Name: E-mail:
Address:
City: State: Zip Code:

Comments and/or Questions

Update my Information

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

Check if Appropriate:

Student's High School Information:

For Parents:

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