PERSONAL UPDATE FORM

Name

Title:
First:
Middle:
Last:

Home Address

No. and Street:
City:
Postal Code:
Province:
Country:
Home Phone:
Cell Phone:
Home Email:

Work Address

Organization Name:
Position:
No. and Street:
City:
Postal Code:
Province:
Country:
Work Phone:
Work Email:
I am Retired:
I am Retired: Yes
No

Are you a graduate of Saint Paul University?

Year of Graduation:
Degree:
Faculty:
Student Number:
Date of Birth:

Family Information

Name of Spouse (if applicable):
Is your spouse a graduate of Saint Paul University?
Is your spouse a graduate of Saint Paul University? Yes  No
If Yes, Name of Faculty:
Graduation Year:

I would prefer to receive information from Saint Paul University:

I would prefer to receive information from Saint Paul University: At Home
At Work
By email

Preferred language of correspondence?

Preferred language of correspondence? French
English

Social Media

Do you have a Twitter account?
Do you have a Twitter account? Yes  No
Do you have a LinkedIn account?
Do you have a LinkedIn account? Yes  No
Do you have a Facebook account?
Do you have a Facebook account? Yes  No