Office of Alumni Engagement
4th Floor, Administration Building
Phone: 412.396.6209
Fax: 412.396.4242
alumnionline@duq.edu

Family Information 2017
Student Family Information Form -> Parent Information -> Duquesne Relatives
Student Family Information Form

Please enter student information:


Student ID # (D########)
Student's First Name
required
Student's Last Name
required
Student's Nickname
Name of secondary/high school attended prior to Duquesne:
Student's Date of Birth
RadDatePicker
RadDatePicker
Open the calendar popup.
Anticipated Graduation Year

Please answer as appropriate:
Parents divorced?
required
Parents separated?
required
Father deceased?
required
Mother deceased?
required

Please enter parent/guardian names and relationship information:
Parent/Guardian 1: First Name
required
Parent/Guardian 1: Last Name
required
Parent/Guardian 1: Relationship to Student
required
Email:
Check here if parent/guardian is Duquesne alumnus:

Parent/Guardian 2: First Name
Parent/Guardian 2: Last Name
Parent/Guardian 2: Relationship to Student
Email Address
Check here if parent/guardian is alumnus:

Please check here if you wish to list additional Parents/Guardians