RECORD UPDATE FORM 
 
Check ONE:
Add record to database       Reason for Add: _______________________________________________
Update database for an existing record
Not sure if already on database
 
_________________/___________________________________________________________________
SSN# (if available)       Millennium ID No.                                  Other (Spouse Data, Deceased, etc.)
 
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Constituent Name:      Last                             First                    Middle                            Former Name
 
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Home: Street Address
 
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Home: City                                                      State/Prov.                             Country                       ZIP Code
 
(____)__________________________(____)_______________________(____)____________________
Home Telephone                                      Cellular Telephone                            FAX Number
 
(____)____________________________________(____)______________________________________
Foreign Telephone                                                       Foreign FAX Number
 
 Alumni    Year _____ Friend Faculty/Staff Parent
 Organization Business Corporate/Foundation Religious Org.
 
Preferred School or Program: ______________________________________________________________
 
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Employer
 
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Position/Title
 
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Business: Street Address
 
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Business: City                                                   State/Prov.                      Country                      ZIP Code
 
(____)____________________________(____)______________________(____)___________________
Business Telephone & Extension                  Business Cellular Phone                   Business FAX Number
 
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Foreign Business Telephone                                                        Foreign Business FAX Number
 
 
PLEASE COMPLETE NECESSARY INFORMATION BELOW TO ENSURE PROCESSING.
 
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Your Name                                             Department                                          Telephone Number
 
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Today's Date                                          Comments (continue on back side if needed)
 
 
Please return to: Advancement Services, Swen Parson 220 or FAX 753-3515