Slate Change Request Form

Verification Policy Statement: This form has been created for Albright College faculty, administration, and staff members to submit changes, updates, and new information to the Albright database of alumni, parents and friends (aka: constituents). Please note that the most reliable source for changes like this is the actual constituent. Additionally, it is helpful to include as much known information about the constituent on this form as possible, in order to assure the proper record is edited. (If there are two John Smith records in the database, it will be helpful to have a middle initial, class year, and/or spouse’s name.)

For Advancement Division Members: Please review the constituent’s record BEFORE submitting this form to be sure information has not already been recorded.

Questions? Contact Cheri Borelli at cborelli@albright.edu

Albright Staff Member Submitting New Info *

First

Last

Department *

Phone Extension *

Email *

Source of New Info *

Changes, Updates, and New Information

Full Name of Constituent (Include Maiden) *

Class Year (If Applicable)

Constituent’s Spouse Name (If Applicable)

Your Relationship to Constituent *

Update/New Information *

Name