UPDATE YOUR PERSONAL INFO

Please fill out the entire form. Items with an asterisk(*) are required.
Please allow three weeks for changes to go into effect.


New Name
* Old First Name:
 		Old Middle Name:
Maiden Name:
 		* Old Last Name:
Spouse First Name:
 		Spouse Middle Name:
Spouse Maiden Name:
 		Spouse Last Name:
* Address 1:
 		Address 2:
* City:
 		* State:
* Zip:
 		* Country:
* Daytime Phone:
 		Evening Phone:
* E-mail:
 		 
   
* Your Class Years:
 		Spouse Class Years (if they attended Ohio State):
Your Ohio State Degrees:
 		Spouse's Ohio State Degrees (if applicable):

New First Name:
 		New Last Name:
New Middle Name:
 		 

Additional Comments: