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Parent Record
To be completed by parent or guardian.

Student Information
  Full Name
  Preferred first name
  High School
Public School    Private School
  Date entering WFU
(mm/dd/yyyy)
  Birth Date
(mm/dd/yyyy)
  Is the student transfering from another college? Yes
No
  If yes, entering WFU as a: Freshman
Sophomore
Junior
Senior
     
Parent Information
  Is the student under the care of: Parent(s)
Guardian(s)
  Marital status Married   
Divorced   
Separated   
Widowed   
Single
 

Preferred address for all mailings

 Mother and Father   
Mother   
Father
Other:
     
Father  
  Full Name
  Preferred first name
  Home Address
  Job title
  Employer's name
  Business Address
  Undergraduate university
  Year graduated
  Other degrees, class years, and universities
  Home phone
  Preferred e-mail
  Work phone
  Work e-mail (if different from preferred)
  Fax number
  Does your employer match gifts? Yes   
No
     
Mother  
  Full Name
  Preferred
first name
  Home Address
  Job title
  Employer's name
  Business Address
  Undergraduate
university
  Year graduated
  Other degrees, class years, and universities
  Home phone
  Preferred e-mail
  Work phone
  Work e-mail (if different from preferred)
  Fax number
  Does your employer match gifts? Yes   
No
     
Other Information  
  Please list the primary business and civic boards and organizations to which you (father/mother) now belong:
 

Please list any foundations, volunteer boards, or boards of directors on which you (father/mother) have served, and where
 

Please list any significant former professional positions you (father/mother) have held, and where:

     
Relatives & Children  
  Other Children Names (do not include current WFU students) Birth Dates (mm/dd/yyyy) Relation to WFU
(e.g. alumnus, employee)
 
 
 
 
 
 

Relatives' Names
Relation to Student Relation to WFU
(e.g. alumnus, employee)
     
   

 

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