Parent News and Information Updates

Parent News & Information Update Form

MSOE recognizes and values parents’ roles in student success. Providing your contact information helps us stay connected and allows key university departments to better serve as resources throughout your student’s college career. MSOE will use this information to communicate with you about university news, initiatives, events, and engagement opportunities.
Your Interests and Preferences
Please select all that apply:

Volunteering at local or campus eventsConnecting with other MSOE familiesHosting events for families of incoming studentsProviding connections for internships and job opportunitiesSupporting MSOE’s Parent and Family FundI am not sure right now, but follow-up with me!
Child/Student Information

Help us associate your information with your MSOE student(s)
Student 1 Name:*

First NameLast Name
Student 1 Year:*
Add a Second Student?

NoYes
Student 2 Name:

First NameLast Name
Student 2 Year:
Check if Applicable to Parent/Guardian(s) Listed Below:

Parents divorcedParents separatedFather deceasedMother deceased
Parent/Guardian 1 Information

To help ensure communications and records are accurate, please provide information for each parent/guardian who is involved in supporting your student.
Parent 1 Newsletter Preference:

Yes, I would like to receive MSOE's parent newsletters.No, please exclude me from parent newsletters.
Parent 1 Name:*

First NameLast Name
Preferred Email:*
Preferred Phone:

Area CodePhone Number
Phone Type:

Home MobileHome LandlineBusiness
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Name:
Job Title:
Parent/Guardian 2 Information (If Applicable)
Parent/Guardian 2 Name:

First NameLast Name
Preferred Email:
example@example.com
Preferred Phone:

Area CodePhone Number
Phone Type:

Home MobileHome LandlineBusiness
Use Same Address as Parent/Guardian 1?

YesNo
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Name:
Job Title:
Please re-type the word shown:*
Registration Date:

MonthDayYear
Should be Empty:

Your Interests and Preferences

Child/Student Information

Parent/Guardian 1 Information

Parent/Guardian 2 Information (If Applicable)