Alumni Update Form

Personal Information

Name*

Prefix

First Name

Middle Name

Last Name

Last name while attending Bethel

*If your last name has changed, please email IA@BethelUniversity.edu to update officially.

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Graduation Year*

Department/Major*

Email*

Preferred Class Year

Home Phone

Cell phone

Bethel ID

(If you can remember it!)

If the above address is new, please provide previous address information for cross reference purposes.

Address Line 1

Address Line 2

City

State

ZIP Code

Family Information

Name (spouse)

Maiden Name

Date Married

Is spouse a Bethel Alum?

Yes No

How many children do you have?

Children's names, birth dates, and graduation years

What's new in your life?

I would like this news to be included in the Bethel Magazine

Digital photos related to this news item may be uploaded below or emailed to alumni@betheluniversity.edu, while print photographs should be mailed to Alumni Services, Bethel University, 1001 Bethel Circle, Mishawaka, IN 46545. (Note: Digital photos submitted must be taken with a minimum 3 mega pixel camera at the highest resolution setting. Photos pulled from a web page are not adequate print resolution.)

Photo upload

No File Chosen

File uploads may not work on some mobile devices.

Education Information

Degrees not received from Bethel (If you have more than one degree to list here, please put the additional degrees in the Comments section.)

Institution

Graduation Date

Major

Institution

Graduation Date

Degree name

Employment Information

Employer

Start Date

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Email

Phone

Activity Information

Activities, Athletics, and Organizations in which you participated while you attended Bethel (please include the years)