University of Wisconsin - Fond du Lac Alumni Association

Alumni Records Update Form

Using this form will help the Alumni Association keep your records up to date. This information will be available only for internal use and will not be sold to any companies. We will share with other alums, if you give us permission on this form. This information will not be posted on our website.

If you wish to locate a "lost" alumni friend, you can contact the Foundation/Alumni Office. The staff will be glad to share whatever contact information that person may have given us as long as they have also given us permission to share it.

Your Name
Date of Submission
Date Attended
Please make your corrections or changes In the appropriate space or spaces below. You do not need to fill every space. Mark only those changes that you want to share with us.
Title (Mr., Ms., Mrs., Dr., Rev., etc)
First Name
Middle Name
Maiden Name
Last Name
Home Street Address
Home City, State, Zip
Home Phone
Home Email
Occupation Information
Job Title
Name of Organization
Business Street Address
Business City, State, Zip
Business Phone
Business E-Mail

Please check one:	Yes, share this information with other alumni.
	No, do not share this information with other alumni.

THANK YOU FOR TAKING YOUR TIME TO COMPLETE THIS UPDATE!

University of Wisconsin-Fond du Lac | 400 University Dr, Fond du Lac, WI 54935-2950 | Phone 920-929-3600 | Student Services 920-929-3606