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Personal Information Update Form

If you have any questions or problems submitting your new information, please contact Lab’s Office of Development and Alumni Relations by email or by telephone at 773-702-0578.
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PERSONAL INFORMATION
Last Name
First Name
Middle Name
Suffix
Prefix
 
Maiden Last Name
   
CONTACT INFORMATION
Preferred Contact Address
Home Business
   
Home Address Line 1
Home Address Line 2
Home Address Line 3
City
State
Zip
Country
Home Phone
Home Fax
Preferred E-mail
   
BUSINESS INFORMATION
Professional Title or Position with firm
Employer Name
Occupation Code
Business Address Line 1
Business Address Line 2
Business Address Line 3
City
State
Zip
Country
Business Phone
Business Fax
Matching Gift CO?
Yes No
   
EDUCATION INFORMATION
Preferred Class Year
   
School Name 1
Degree 1
Class Year 1
School Name 2
Degree 2
Class Year 2
School Name 3
Degree 3
Class Year 3
School Name 4
Degree 4
Class Year 4
School Name 5
Degree 5
Class Year 5
WEB SERVICES:
Would you like your contact information included in the online Alumni Directory (alumnidirectory.uchicago.edu)?

Yes, please include my all of my contact information, including my home address and phone number, business address and phone number, and e-mail address, in addition to my degree and year.

Yes, you may include some of my contact information; however, I would prefer to have only my home phone number listed along with my degree and year in the Alumni Directory.

Yes, you may include some of my contact information; however, I would prefer to have only my business phone number listed along with my degree and year in the Alumni Directory.

Yes, you may include some of my contact information; however, I would prefer to have only my home address listed along with my degree and year in the Alumni Directory.

Yes, you may include some of my contact information; however, I would prefer to have only my business address listed along with my degree and year in the Alumni Directory.

No, you may not include my contact information in the Alumni Directory; please only list my degree and year.

No, you may not include any of my contact information, including my degree and year. (Please note that this privacy setting does not qualify you to use the Alumni Directory.)




Would you like to be listed as a Career Contact in the online Alumni Careers Network (alumnicareers.uchicago.edu) for alumni and students?

Yes, please list me as a contact in the online Alumni Careers Network.



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