OHIO Parent Information

OHIO Parent Information
STUDENT INFORMATION

Please complete the following as it relates to your student.
Student's name *

First Name Middle Name Last Name
Date of birth *

- Month - Day Year
Date
Expected year of graduation from Ohio University *
PARENT/GUARDIAN INFORMATION

Please complete the following section as it relates to you.
Mother/Father/Guardian
Name *

Prefix First Name Middle Name Last Name Suffix
Preferred First Name

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Employer
Position/Job title
Are you an Ohio University alumnus?
Undergraduate university and degree earned.
Other universities and degrees earned.
Preferred phone number

- Area Code Phone Number
Work/Home/Mobile
Preferred email *
example@example.com

Mother/Father/Guardian #2
Name

Prefix First Name Middle Name Last Name Suffix
Preferred First Name
Address

Same as Mother/Father/Guardian #1 See below

Employer
Position/Job title
Are you an Ohio University alumnus?
Undergraduate university and degree earned.
Other universities and degrees earned.
Preferred phone number

- Area Code Phone Number
Work/Home/Mobile *
Preferred email *
example@example.com
Do you have any other children attending OHIO?
If yes, please list names, dates of birth, and expected graduation years.
Do you have any children who are already OHIO alumni?
If yes, please list names, dates of birth, and years of graduation.
Should be Empty: