Because interests and family situations vary, we ask that each parent or guardian fill out this information form.

Are you currently receiving campus update e-mails from the Parents Office? Yes No

Are you receiving e-mails because you have another student currently enrolled
at UNC Chapel Hill? Yes No

If you are not currently receiving e-mails and would like to receive the Parents Office monthly updates, would you prefer to receive them at your

business e-mail address
home e-mail address

Is your son or daughter transferring to UNC Chapel Hill from another school? Yes No

Parent/guardian information

First Name Last Name
Preferred First Name
Professional Title

Gender Male Female

UNC Chapel Hill Alumnus? Yes No
UNC Chapel Hill Undergraduate Year / Degree
UNC Chapel Hill Graduate Year / Degree

Business address

Address 1
Address 2
Address 3
Military/Diplomat A.P.O.

City/Town or Providence State Zip/Postal code
Country
Business phone Business fax
Business e-mail

Home address

Is this address the permanent address of record for your son or daughter (i.e. where the tuition bills are sent)? Yes No

Address 1
Address 2
Address 3
Military/Diplomat A.P.O.

City/Town or Providence State Zip/Postal code
Country
Home phone Home fax
Home e-mail

Professional & Community Boards, Memberships, or Affiliations

Tell us about your special interests & skills:

Would you be interested in supporting Carolina by:

Participating in the Carolina Parents Association (learn more about this by going to http://parents.unc.edu/involved.php
Helping UNC-Chapel Hill in your local area (e.g. by hosting or attending events)
Contributing financially
Lending your professional experience
In other ways:

Would you be interested in helping the Parents Office with program and activities:

on campus
in your local area
not at this time

Other Carolina connections or any comments you may have:

Your spouse

First Name Last Name
Preferred First Name
Professional Title

Gender Male Female

Tell us about your Carolina son(s) and daughter(s)

Please list your relationship to all Carolina Students, starting with the most current son or daughter at Carolina.

Student's first name
Student's last name
Student's PID (if known)

Student's birth date (MM/DD/YY)

For Fall 2008 the student is a: First Year Undergraduate Sophomore Junior Senior Relationship to the student Father Step father Mother Step mother Guardian Not applicable

Student's first name
Student's last name
Student's PID (if known)

Student's birth date (MM/DD/YY)

For Fall 2008 the student is a First Year Undergraduate Sophomore Junior Senior Relationship to the student Father Step father Mother Step mother Guardian Not applicable

Student's first name
Student's last name
Student's PID (if known)

Student's birth date (MM/DD/YY)

For Fall 2008 the student is a First Year Undergraduate Sophomore Junior Senior Relationship to the student Father Step father Mother Step mother Guardian Not applicable

Student's first name
Student's last name
Student's PID (if known)

Student's birth date (MM/DD/YY)

For Fall 2008 the student is a First Year Undergraduate Sophomore Junior Senior Relationship to the student Father Step father Mother Step mother Guardian Not applicable

Student's first name
Student's last name
Student's PID (if known)

Student's birth date (MM/DD/YY)

For Fall 2008 the student is a First Year Undergraduate Sophomore Junior Senior Relationship to the student Father Step father Mother Step mother Guardian Not applicable

Student's first name
Student's last name
Student's PID (if known)

Student's birth date (MM/DD/YY)

For Fall 2008 the student is a First Year Undergraduate Sophomore Junior Senior Relationship to the student Father Step father Mother Step mother Guardian Not applicable