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Update Your Information

Update Your Information Form

Stay connected to Rollins! Please use the form below to update your contact information.

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

*What prompted you to contact us?

I recently moved

My upcoming class/affinity Reunion

I'm responding to an inquiry from Rollins staff

I recently attended a Rollins event

Other

 

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

*Date of Birth

*Major Field of Study

 
Your Information:

Alumni

*First Name:
Middle:
Maiden Name:
*Last (married) Name:
Suffix (professional or otherwise):
Preferred Address Name:

Please check this box if you do not wish for your information to be shared with other Rollins alumni.

Marital Status:

Single

Married

Divorced

Widowed

*Graduation Year(s):
Preferred Year(s) (if applicable):

*Program(s) Attended:

Arts & Science Undergraduate Program

Hamilton Holt School Graduate Program

Crummer Graduate School of Business Program

Spouse

First Name:
Middle:
Maiden Name:
Last Name:

If your spouse is a Rollins graduate, please enter their graduation year(s):

Children

New Birth - Child's Name: Last Name: Birth Date:
New Birth - Child's Name: Last Name: Birth Date:

Child's Name: Last Name: Birth Date:

Additional Child: Last Name: Birth Date:
Additional Child: Last Name: Birth Date:
Additional Child: Last Name: Birth Date:
Additional Child: Last Name: Birth Date:

Addresses:
Home Address 1:
Home Address 2:
Home Address 3:
Home City:
Home State:
Home Zipcode:
Home Country:
Employer Name:
Title:
Career Field/Industry:
Work Address Line 1:
Work Address Line 2:
Work Address Line 3:
Work City:
Work State:
Work Zipcode:
Work Country:

Check the preferred mailing address: home work
Phone Numbers:
Home Phone:
Home Fax:
Work Phone:
Your Extension (if any):
Work Fax:
Cell Phone:

Check the preferred phone number: home work cell
Email Addresses:
Home Email:

Work Email:

Check the preferred email address: home work

Please check this box if you would like your e-mail address to be omitted from the on-line Alumni E-mail Directory.
Rollins Alumni Decal

Would you like to receive a Rollins Alumni Decal?

Yes No thanks
Class News:

What's New?

What's new? Recently moved? New job? Married? Baby? Let your whole Rollins family know what's new in the Class News section of the Rollins Magazine.

Important Information: While we attempt to include as many submissions as possible in the Class News section, news items will be limited to a maximum of 50 words due to space restraints. Please provide all digital photos as high-resolution (300 dpi) jpg images. We can accept prints but they will not be returned. More information on how the pictures may be mailed or e-mailed to our office will appear once your form has been submitted. Since the magazine prints only three times a year, news items may not appear for six to nine months from the date of submission. To ensure accuracy, personal news will be printed in the magazine only if it is received directly from the person who is the subject of the news, or if it is received in the form of a news clipping or press release. Rollins reserves all editorial rights and final decisions for inclusion of Class News items.

Thank you for helping us stay connected with you!

 

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1000 Holt Avenue - 2736 | Winter Park, FL 32789 | 407-646-2266 | 1-800-799-ALUM (2586) |
Fax: 407-646-1556 | alumni@rollins.edu |