Update Your Information

Welcome, as part of the University's effort to stay connected to parents and families, we encourage you to share your information with us so we can send you our newsletter, The Madison Family Connection. This will also allow us to keep you updated on important dates and campus happenings.
If you have recently mailed an information update form to us, you do not need to submit this form.
Today's Date: May 13, 2008

Mother's First Name:
Mother's Last Name:

Home E-mail Address
(ex. entireaddress@domain.com)
Work E-mail Address
(ex. entireaddress@domain.com)

Mother's Place of Employment:
Mother's Job Title:

Father's First Name:
Father's Last Name:

Home E-mail Address
(ex. entireaddress@domain.com)
Work E-mail Address
(ex. entireaddress@domain.com)

Father's Place of Employment:
Father's Job Title:

Students's First Name:
Student's Last Name:

Student's Anticipated Class Year:
Student's JMU ID#:

Home Information

* Street Address:

* City:
* State (abbreviation):
* Zip:

Would you like to receive information/publications from the Parent Relations office?

Yes, I would like to receive information/publications via email.
Yes, I would like to receive information/publications via standard mail.
No, I would not like to receive any information.

* - Required Information.

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	PUBLISHER: Parent Relations MSC 3605, Harrisonburg, VA 22807 PHONE: (540) 568-3190 FOR INFORMATION CONTACT: Parent Relations Webmaster Privacy Statement Last Modified: 5/1/2008

Mother's First Name:	Mother's Last Name:
Home E-mail Address (ex. entireaddress@domain.com)	Work E-mail Address (ex. entireaddress@domain.com)
Mother's Place of Employment:	Mother's Job Title:
Father's First Name:	Father's Last Name:
Home E-mail Address (ex. entireaddress@domain.com)	Work E-mail Address (ex. entireaddress@domain.com)
Father's Place of Employment:	Father's Job Title:
Students's First Name:	Student's Last Name:
Student's Anticipated Class Year:	Student's JMU ID#: