Record Change Request

All changes to records must be submitted through this form. Please fill out this form to request any changes to a record(s) in the database. Thank you for your cooperation.

* indicates a required field.

* ID #
*If multiple ID's, please list all ID's in the text box provided below.
* First Name  
* Last Name  
  Record Change Primary Manager Change
Add to President's Letter
Remove from President's Letter
Address Change
Phone Number Change
Email Change
Employment Change
Spouse Added
Make Inactive (Alumni Excluded)
* Change (as descriptive as possible)
  Multiple ID #'s
* Requested by  
* Date Requested  
* List emailed with changes Yes
Email your list/document to Devra Andersen in addition to filling out this form.