Update Your Information

Please use the form below to send us your current contact information.

For questions or comments, please contact:
Manager of Constituent Records
Office of Advancement
Middlebury College
700 Exchange Street
802-443-5184 or ca_records@middlebury.edu

Personal Information

Title (Mr., Ms., Mrs., Mx., Dr.)

First Name *

Nickname:

Preferred Pronouns

Middle Name

Last Name *

Home Email

Work E-mail

Preferred Email Contact Address

Home

Work

Mobile Phone

Home Phone

Work Phone

Student Information

Please note: this information is only used to match your information with the record we already have on file. If you have more than one child who is or was a Middlebury student, we will match your record and associate it with all your children based on the one student you enter here.

Student’s First Name *

Student’s Last Name *

Student’s Class Year *

Spouse / Partner Information

Spouse / Partner First Name

Spouse / Partner Last Name

Spouse / Partner Email

Spouse / Partner Phone

Home Address

Home Street 1

Home Street 2

Apt #

City

State

Zip Code

Country

Work Address

Position/Title

Department

Company

Work Street 1

Work Street 2

Work City

Work State

Work Zip

Work Country

Work Fax

Comments or Questions

Leave this field blank