Help us keep our records current.
You can use this form to tell us that your name or address has changed. Just fill out the fields below, and then press the submit button at the bottom.
Items marked with an " * " are required.
First Name*
Middle Name*
Last Name*
Are you submitting a name change? Yes No
Name while attending UW Bothell (if different)
Street Address
City
State or Province
ZIP/Postal Code
Country Leave blank if U.S.
Home Phone
Preferred E-mail*
Student or Alumni ID Number Your Alumni Number can be found on your membership card or at the top of the label on your copy of Columns magazine.
First UW Degree
First UW Degree Major
First UW Degree Year
