	The information requested on this form is voluntary. The information will be used to promote the activities/ accomplishments of Mount Olive College Alumni; to be included in the TODAY, the Mount Olive College Newsletter, and to update our alumni database.

	Personal Information Update

1.	Title:

2.	First Name:*

3.	Preferred Name:

4.	Middle or Maiden:

5.	Last Name:*

6.	Suffix:

7.	Street Address:*

8.	City:*

9.	State:*

10.	Country:

11.	Zip Code:

12.	Home Phone:*

13.	Cell Phone:

14.	Email:*

15.	Birthdate:

16.	News about you: children, marriage, awards, honors, etc.

	Other Formal Education

17.	School Name:

18.	Major:

19.	Degree:

20.	Year:

21.	Graduated:
	Yes No Still Enrolled

	Employer Information

22.	Employer Name:

23.	Title:

24.	Phone:

25.	Email:

	Spouse Infomation

26.	First Name:

27.	Preferred Name:

28.	Middle or Maiden:

29.	Last Name:

30.	Suffix:

31.	Employer Name:

32.	Industry:

33.	Title:

	Release Authorization:

34.

Please read the following release authorization statements carefully before making your selection. The information requested on this form is voluntary. The information will be used to promote the activities/accomplishments of Mount Olive College Alumni; to be included in the TODAY, the Mount Olive College Newsletter, and to update our alumni database.*

I authorize the release of the above information to the Mount Olive College Today and to the Alumni Relations Office.

I authorize the release of the above information to the Mount Olive College Career Center and may be contacted about the MOC Job Mentoring Network.

I authorize the release of my email address to be published in the Mount Olive College TODAY