Rockford College - Alumni Information Form

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Need to update your information? Simply fill out the form below and the information will be automatically submitted to Alumni Relations.

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Rockford College respects the wishes of Alumni who want to protect their privacy. Alumni Relations does not sell or exchange personal information. If you wish to no longer receive specific Rockford College mailings please contact Alumni Relations at 815-226-3370.

Your Information
Class Year:
Graduation Name:
Preferred First Name:
Current Name:
Birthday:
Home Address:
City, State, ZIP:	,
E-mail:
Phone:
Employer:
Position/Title:
Work Address:
Work Phone:
Fax Number:
Employer:
Work Phone:
Family Information
Spouse's Name:
Attended Rockford College:	Yes
	No
Class Year of:
Years Attended:
Wedding Date:
Spouse's Birthday:
Children	Names and Birthdays
Other Information:	Other Degrees (School, Date, and Field), honors, awards, activities, etc.
Other Contact:	Name and address of person (other than spouse ) who will know my address