Contact Information Update Form

First Name

Please fill out your legal first and last names.

Last Name

Do you have a nickname you prefer to go by?

What is your primary email address?

Do you have a spouse we should add to our system?

Yes

No

Spouse's First Name

Spouse's Last Name

Does your spouse have a nickname they prefer to go by?

What is your spouse's primary email address?

What is a good phone number to reach you at?

What type of phone number is it?

Land Line

Cell Phone

Work Phone

OtherOther

What is a good phone number to reach your spouse at?

What type of phone number is it?

Land Line

Cell Phone

Work Phone

OtherOther

Do you have a second phone number you would like on file?

What type of phone number is your second number?

Land Line

Cell Phone

Work Phone

What is your Primary Address?

City

State/Province

Zip/Postal

Country

Is this your full time residence?

Yes

No

Is there a time when you would be better reached at the secondary address?

Do you have a secondary address you would like to provide? If so, please fill out the address.

City

State/Province

Zip/Postal

Country

Stay Connected

This is a voluntary Form the Development Office at Calvin Theological Seminary is using to make sure our records are up to date. If there are any questions you do not wish to answer or can not answer, please feel free to skip them.