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Alumni Contact List Request Form

Please Note: Fields marked with an * are required to submit this form.

For identity security purposes, we ask that you please provide answers to the following questions.

*Date of Birth

*Major Field of Study

Do you want to see who lives in your city/town/state/country? Where are your classmates, teammates and friends? Please fill out the form below to receive an alumni contact list by one or more of the following areas: class year, campus organization, athletic team, city, state or by country.

The Office of Alumni Relations prohibits the use of alumni contact information for business gains and/or solicitations of any kind. This is a service offered only to alumni of Rollins College. If you are interested in a business networking opportunity, please add your name to the Alumni Business Directory located under the Alumni Directories & Services link.

Please allow 2 weeks from the date submitted to receive your list. If you have any questions, please call 407-646-2266 or 1-800-799-ALUM (2586).

First Name:
Last Name:
Suffix:
Maiden Name:
Married Name:
Graduation Year:
College:	Rollins College of Arts & Science Hamilton Holt School Undergraduate Hamilton Holt School Graduate Program Crummer Graduate School of Business Select One
Home Address:
Address 2:
City:
State:
Zip Code:
Country:
Daytime Phone:
Business Fax:
Email Address:
List Request
Class Years: (ex. 1999 - 2002) Campus Organization: Athletics Team: City: State: Country: Name and Class Year of Alumnus: Purpose of Request