/ Offices/ Advancement Services/Demographics Update

Demographics Update

Please note that First & Last Names are required fields. Your request will not be submitted properly if required fields are missing.

For the rest of the fields, kindly fill out ONLY the information you want changed. Be specific as possible in “free text” fields. Thank you for contributing to Advancement Service’s data integrity.

All fields marked with asterisk (*) are required.

text field

Submitted By

text field

Record ID #

radio button field

New Record!

Yes

select menu field

Preferred Prefix

required text field

Last Name*

required text field

First Name*

text field

Middle Name

text field

Suffix

text field

Nickname

text field

Maiden Name

text field

Former Name

select menu field

Marital Status

select menu field

Constituency Code

radio button field

Home is Preferred Address

Yes

text field

Home Address Line 1

text field

Home Address Line 2

text field

Home City

text field

Home State

text field

Home ZIP

text field

Home Country

text field

Home Phone

e-mail address field

Home E-mail

text field

Class Year

text field

Birth Date

checkbox field

Business is Preferred Address

Yes

text field

Employer Name

text field

Title/Position

text field

Business Address Line 1

text field

Business Address Line 2

text field

Business City

text field

Business State

text field

Business ZIP

text field

Business Country

text field

Business Phone

text field

Business Fax

e-mail address field

Business E-mail

select menu field

Make This Person

textarea field

Relationships (include name and relationship type)

textarea field

Additional Information (Awards, Honors, Affiliations…)

radio button field

Is Constituent Deceased

Yes

text field

Date of Death

textarea field

Any Additional Comments?

Link (required)

Advancement Services is located in McAfee on the Undergraduate Campus.
MSC: 88

email update@lclark.edu

voice 503-768-7925
fax 503-768-7945

Advancement Services
Lewis & Clark
615 S. Palatine Hill Road MSC 88
Portland OR 97219