JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Champlain College - Update Your Info
Have you moved or changed your email address recently? Do you have personal or employment updates you want to share? You can make any or all of these updates using the form below.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name:
*
Your answer
Middle Name:
Your answer
Last Name:
*
Your answer
Maiden Name:
Your answer
Preferred Email:
*
Your answer
Graduation Year(s) - if alum:
*
Your answer
Spouse/Partner Name:
Your answer
My spouse/partner is an alum:
Yes
No
Mailing Address Line 1:
*
Your answer
Mailing Address Line 2:
Your answer
City:
*
Your answer
State:
*
Your answer
ZIP:
*
Your answer
Country (If outside the US):
Your answer
Preferred Phone:
Your answer
Phone Type
Home
Cell
Business
Clear selection
We occasionally use texting to share resources, provide event updates, etc. Please check here to opt-in or opt-out to text updates from Champlain College. Please be sure to provide your cell/mobile number above.
Yes - Opt me in
No - Opt me out
Your Employer:
*
Your answer
Job Title:
Your answer
Employer Address Line 1:
Your answer
Employer Address Line 2:
Your answer
Employer City:
Your answer
Employer State:
Your answer
Employer ZIP:
Your answer
Work Email:
Your answer
Do you have any other updates to share? Professional accomplishments, accolades, engagements, marriages, births, community service, etc. Feel free to include your news below:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of Champlain College.
Report Abuse
Terms of Service
Privacy Policy