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WASHINGTON AND LEE UNIVERSITY
FAMILY INFORMATION FORM
Please complete form by June 30
STUDENT
Student's Complete Name
Student's Preferred Name
High School Attended
PARENTS
FATHER
MOTHER
Complete Name
Preferred Name
Preferred Prefix
Mr.
Dr.
Mrs.
Ms.
Dr.
Home Address
Home Phone
E-mail Address
Professional Field
Title
Business Name
Address
Work Phone
College(s) & Degree(s)
Community, Corporate, Foundation or Civic Involvement
Are you willing to be contact by Career Services about volunteer opportunities for parents?
Yes
No
Yes
No
Marital status
Married
Separated
Divorced
Do you prefer correspondence at
Home
Business
Other relatives who attend(ed) W&L
GRANDPARENTS
PATERNAL
MATERNAL
Name
Address
SIBLINGS
Name
Age
Attended/ing College?
If yes, where?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
STEP-PARENTS
STEP-FATHER (if applicable)
STEP-MOTHER (if applicable)
Complete Name
Preferred Name
Preferred Prefix
Mr.
Dr.
Mrs.
Ms.
Dr.
Home Address
Home Phone
E-mail Address
Professional Field
Title
Business Name
Address
Work Phone
College(s) & Degree(s)
Community, Corporate, Foundation or Civic Involvement
Are you willing to be contact by Career Services about volunteer opportunities for parents?
Yes
No
Yes
No
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Washington and Lee University • Lexington, VA 24450 • (540) 458-8400