Alumni Update

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
Title:
First Name:*
Preferred Name:
Middle or Maiden:
Last Name:*
Street Address:*
City:*
State:
Country:
Postal Code:*
Home Phone:*
Cell Phone:
Email:*
Birthdate:
Education
Location(s) Attended: Mount Olive SJAFB New Bern RTP Washington Wilmington Jacksonville Other:
Please Indicate: MOD Church Ministry CJP Traditional Cohort Number:
Years Attended:
Major:
Degree: Certificate AA AS BA BS BAS
Activities/Clubs/Sports/Special Interests while attending Mount Olive College:
Other Formal Education
Institution Name:
Major:
Degree:
Year:
Graduated:	Yes No Still Enrolled
Employer Information
Employer Name:
Industry:
Position:
Title:
Phone:
Extension:
Fax:
Email:
Activities
Professional:
Professional Office Held
Church:
Church Office Held
Civic:
Civic Office Held
Awards, Honors, Offices Held
Spouse Information
Title:
First Name:
Preferred Name:
Middle or Maiden:
Last Name:
If spouse attended MOC, please give years:
Cohort Number:
Major:
Degree:
Employer:
Position:
If you or any member of your family is employed by a matching gift company, please indicate name of company:
Children, Birthdates, & Family News:
Permanent Contact other than Spouse
Title:
First Name:
Preferred Name:
Middle or Maiden:
Last Name:
Address:
City:
State:
Postal Code:
Relationship:
Release Authorization:
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

After submitting your update, should you like additional information about our Career Center, click on Academics/Career Center! Thank you!!