Washington and Lee University

Washington and Lee University

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