* Indicates Required Field
 
Update Your Profile

HELP! The Alumni office needs your help in keeping your records as complete as possible. If you are an alum of Taylor University Fort Wayne, Summit Christian College, Fort Wayne Bible College or Fort Wayne Bible Institute, please fill out the update form below.

 
About You...
 
*First Name:
 
 
Middle Initial:
 
 
Maiden Name:
 
*Last Name:
 
 
Prefix:
 
 
Suffix:
 
 
Preferred Class Year:
 
 
TUFW ID:
 
About Your Spouse...
 
 
First Name:
 
 
Middle Initial:
 
 
Maiden Name:
 
 
Last Name:
 
 
Prefix:
 
 
Suffix:
 
 
Preferred Class Year:
 
Your Address...
 
 
Permanent Address Line 1:
 
 
Permanent Address Line 2:
 
 
Permanent Address Line 3:
 
 
City:
 
 
State:
 
 
Zip:
 
 
Province and Country (if other than US):
 
 
Permanent Phone:
 
example: (555) 555-5555
Your Employment Information...
 
 
Firm Name:
 
 
Position with Firm (Title):
 
 
Business Address:
 
 
City:
 
 
State:
 
 
Zip:
 
 
Province and Country (if other than US):
 
 
Business Phone:
 
example: (555) 555-5555
Your Spouse's Employment Information...
 
 
Firm Name:
 
 
Position with Firm (Title):
 
 
Business Address:
 
 
City:
 
 
State:
 
 
Zip:
 
 
Province and Country (if other than US):
 
 
Business Phone:
 
example: (555) 555-5555
E-mail Addresses:
 
*Preferred E-mail Address:
 
Note: A copy of this form will be emailed to this address upon completion.
Send me this email as HTML instead of plain text.
 
Business E-mail Address:
 
 
Spouse's Preferred E-mail Address:
 
 
Spouse's Business E-mail Address:
 
 
Please WITHHOLD the following from the TUFW Web site:
 
 
NOTE: The following information is for our personal records and will not be given out, but will help us better serve you.

Seasonal Addresses...

 
 
Seasonal Address 1 – Street Address:
 
 
City:
 
 
State:
 
 
Zip:
 
 
Reside at this address from
 
 
to
 
 
 
Seasonal Address 2 – Street Address:
 
 
City:
 
 
State:
 
 
Zip:
 
 
Reside at this address from
 
 
to
 
Social Security Numbers
 
 
Yours:
 
nnn-nn-nnnn
 
Spouse's:
 
nnn-nn-nnnn
Dates of Birth
 
 
Yours:
 
mm/dd/yyyy
 Calendar
 
Spouse's:
 
mm/dd/yyyy
 Calendar
 
Church Denomination:
 
 
Further Education (degree received / institution name / year):
 
Children
 
 
Child:
 
 
Date of Birth:
 
mm/dd/yyyy
 Calendar
 
 
Child:
 
 
Date of Birth:
 
mm/dd/yyyy
 Calendar
 
 
Child:
 
 
Date of Birth:
 
mm/dd/yyyy
 Calendar
 
 
Child:
 
 
Date of Birth:
 
mm/dd/yyyy
 Calendar
 
 
Child:
 
 
Date of Birth:
 
mm/dd/yyyy
 Calendar
 
 
If you have had a recent birth, please check below if the birth may be announced in the next issue of the Taylor University Fort Wayne alumnus Magazine.
 
Contacts
List the names, addresses and phone numbers of two people who will always know your address:
 
 
Name:
 
 
Address:
 
 
Phone:
 
example: (555) 555-5555
 
 
Name:
 
 
Address:
 
 
Phone:
 
example: (555) 555-5555
 
Do you know a student who would like to receive information about TUFW? (Please provide name and address.)
 
 
Name:
 
 
Address:
 
 
 
Name:
 
 
Address:
 
 
 
Name:
 
 
Address:
 
 
 
Would you like to continue to receive the TUFW alumnus magazine? (Please note that the magazine is now available online at http://fw.taylor.edu/alumni/magazine/.)
 
 
Request:
 


 
Specifics of Request/Other Comments: