Address Update / VISION News Submission

 
  
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Help us keep our mailing list up-to-date. When you move, change ministry positions, change e-mail address, etc., please keep us current by completing the form below. This will help us keep you current with all that is happening here at NOBTS through our VISION magazine and other newsletters.

Please Note: Due to the size of our database and having multiple records of individuals with the same or similar names, this form must be completed in its entirety. Red labeled fields are required. Forms not completed in their entirety will not be considered valid and the record will not be updated.

Your Privacy: All information is kept in strict confidentiality. Your personal information is never given or sold to third parties.

 Reason for Update:
Address Update Marital Status Update Deceased    Date Deceased:
VISION News Submission
Effective Date of Update:  Immediately        Effective:
 
Please check all that apply:
Student   (If Student Please Check:  Graduate   Undergraduate)

Faculty    Staff   Alumna/us   Trustee  Foundation Board Member

Individual  Other:

Former Address:
City State
Zip Code

Former/Maiden Name

 

 

Personal Information
Social Security Number     Date of Birth
Miss    Mrs.    Ms.    Mr.    Dr.    Other
Last Name      First Name
Full Middle Name       Nickname

Updated / Current Address
Home Address           Home Phone
City   State                  Home Fax
Zip Code        Email Address

Place of Employment 
Employment Address   Business Phone
City   State                Business Fax
Zip Code         Business Email
Position

NOBTS Degree(s)/ Year Earned                                   
OR Dates attended NOBTS
 

Spouse's Full Name Maiden Name
SS#   Did Spouse take any classes at NOBTS Yes   No

 
VISION News Submission

Church/Institution/Agency    Position

News for VISION

 

Name of Person Completing Form:

Comments

Thank you for updating your information!