Update your Personal Information
We want to make sure we have the most up to date contact details for you and your family. Please complete the form below and let us know if you would like to receive further communication from Regis University.
First Name
*
First Name
Middle Name
Last Name
*
Last Name
Maiden Name
Suffix
Graduation Year
*
Are you currently a Regis University faculty, staff or student.
*
Yes
No
Yes! Please contact me with more information about getting involved as a Regis alumnus.
*
Yes
No
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred contact number
*
-
Area Code
Phone Number
Company
*
Title
Other Employment Information
Self-Employed
Unemployed
Retired
Other
What describes your relationship to Regis University? (Alum, Friend, Parent)
Any messages or comments you would like to add? (400 character maximum)
Submit
Should be Empty: