BGSU:Update Your Information

Update Your Information

*Indicates required field

Required information

*Last name

Maiden name (if applicable)

*Title (e.g. Mr., Mrs., Ms.)

*First name

*Middle name

Suffix (e.g. Sr., Jr.)

*Graduation year

*Street Address (and apartment number, if applicable)

*City

*State

*Zip code (+4)

Preferred phone (with area code)*
Home Cell Other

*Date of birth

*Preferred e-mail address

I have no other information to update and would like to submit this form now

Optional information

Additional personal information

Other phone (with area code)
Home
Cell
Other

Marital status
Married
Single
Divorced
Separated
Widowed
Partner

BGSU PIN number

Secondary e-mail address

I am interested in volunteering on behalf of BGSU:
Local chapter or society formation / leadership
Recruiting new students to attend BGSU
Other volunteer activities

Seasonal address, if different than primary address (winter/summer)

Street address
City	State	Zip code (+4)
From (Month/Year)	To (Month/Year)

Your employer

Employer: (company, corporation, school, etc.)
Street address and suite number
City	State	Zip code (+4)
Telephone number (with area code)	Fax number(with area code)	Matching gift employer? Yes No
Business title or position

¹To determine whether your employer matches gifts to BGSU, please visit this page.

Your degrees

Bachelor degree	Year granted	Major field of study	School (e.g. BGSU, OSU, etc.)
Master degree	Year granted	Major field of study	School (e.g. BGSU, OSU, etc.)
Doctoral degree	Year granted	Major field of study	School (e.g. BGSU, OSU, etc.)
Credentials or certificate	Year granted	Major field of study	School (e.g. BGSU, OSU, etc.)

Contact person

Name & address of someone who will most likely know your address at all times
(Other than spouse or parents)

Relationship

Parent information

Mother’s name and address	BGSU graduate? Yes No
Father’s name and address	BGSU graduate? Yes No

Spouse information

First & middle name	Last name	Date of birth	PIN number (If BGSU grad)
Bachelor degree	Year granted	Major field of study	School (e.g. BGSU, OSU, etc.)
Master degree	Year granted	Major field of study	School (e.g. BGSU, OSU, etc.)
Doctoral degree	Year granted	Major field of study	School (e.g. BGSU, OSU, etc.)

Spouse business information

Employer: (company, corporation, school, etc.)
Street address and suite number
City	State	Zip code (+4)
Business title or position	Preferred email address
Telephone number (with area code)	Matching gift employer? Yes No