Alumni and Friend Contact Info Update

Illinois values its relationship with you. Thank you for taking the time to update your contact information so that we can stay connected with you.

1. First Name:

2. Middle Name or Initial:

3. Last Name:

4. Are you an alumnus/alumna of Illinois?

Yes

If you are an alumnus/a of Illinois, we ask for your major, graduation year and birth date to ensure that we update the correct record. Thank you for understanding.

5. Major: (Examples: BALAS: Speech Communication or BS: Food Science and Human Nutrition)

If you are an alumnus/a of Illinois, we ask for your major, graduation year and birth date to ensure that we update the correct record. Thank you for understanding.

6. Birth Date (month/day/year): answer must be date like mm/dd/yyyy

7. Year of Graduation:

8. Email: answer must be an email address

9. Home Phone: answer must be numeric

10. Cell Phone: answer must be numeric

11. Home Address 1:

12. Home Address 2:

13. City:

14. State:

15. Country:

16. Zip: answer must be numeric

17. Employer:

18. Business Title:

19. Business Address 1:

20. Business Address 2:

21. City:

22. State:

23. Country:

24. Zip: answer must be numeric

25. Business Email: answer must be an email address

26. Business Phone: answer must be numeric

27. Comments:

If you have questions, please contact the Illinois Annual Fund Office at [email protected]. Thank you!