Voice: (407) 646-1577
Fax: (407) 646-2565
holtalumni@rollins.edu
Update Your Information & Class News Form
Stay connected to Rollins! Please use the form below to update your contact information.
Please Note: Fields marked with an* are required to submit this form.
Alumni
First Name: Middle: Maiden Name: *Last (married) Name: Suffix (professional or otherwise): Preferred Address Name: Please check this box if you are responding to the Alumni Update Mailer sent August 2005. Please check this box if you do not wish for your information to be shared with other Rollins alumni.
Marital Status: Single Married Divorced Widowed
*Graduation Year(s): Preferred Year(s) (if applicable):
*Program(s) Attended:
Rollins College Arts & Science Undergraduate Program Hamilton Holt School Undergraduate Program Hamilton Holt School Graduate Program Crummer Graduate School of Business Program Brevard Campus Undergraduate Program
Rollins College Arts & Science Undergraduate Program
Hamilton Holt School Undergraduate Program
Hamilton Holt School Graduate Program
Crummer Graduate School of Business Program
Brevard Campus Undergraduate Program
Spouse
First Name: Middle: Maiden Name: Last Name:
If your spouse is a Rollins graduate, please enter their graduation year(s):
Children
New Birth - Child's Name: Last Name: Birth Date: New Birth - Child's Name: Last Name: Birth Date:
Child's Name: Last Name: Birth Date:
Additional Child: Last Name: Birth Date: Additional Child: Last Name: Birth Date: Additional Child: Last Name: Birth Date: Additional Child: Last Name: Birth Date:
Home Address 1:
Home Address 2:
Home Address 3:
Home City: Home State: Home Zipcode: Home Country:
Employer Name:
Title: Career Field/Industry:
Work Address Line 1:
Work Address Line 2:
Work Address Line 3:
Work City: Work State: Work Zipcode: Work Country: Check the preferred mailing address: home work
Home Phone: Home Fax:
Work Phone: Your Extension (if any):
Work Fax:
Cell Phone: Check the preferred phone number: home work cell
Home Email: Work Email: Check the preferred email address: home work
What's New?
What's new? New job? Promotion? Book published? Another degree? Let your friends know of your achievements in the Class News section of the Holt Alumni News. Important Information: While we attempt to include as many submissions as possible in the Class News section, news items will be limited to a maximum of 50 words due to space restraints. Since the newsletter prints only three times a year, news items may not appear for six to nine months from the date of submission. Rollins reserves all editorial rights and final decisions for inclusion of Class News items.
Thank you for helping us stay connected with you!