Family Information Form

Ohio Wesleyan will use this information to communicate with you about your student, university initiatives, events, and volunteer opportunities. Information collected from this form will be kept confidential.

Student Information

Name *

Preferred Name *

Name of High School *

Type of High School *PublicPrivateParochial

Are you an OWU athlete? *YesNo

Sport(s) *

First Parent/Guardian Information

Name *

Preferred Name *

Maiden Name(if applicable)

Birthdate

Relationship to Student *

Marital Status *MarriedSingleDivorcedWidowedDomestic Partnership

Spouse/Partner Name *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Home Phone Number

Cell Phone Number(if different from the Home Phone Number)

Email Address *

Employer Name

Employer Position/Title

Employer Street Address

Employer Apartment, suite, etc

Employer City

Employer State/Province

Employer ZIP / Postal Code

Employer Country

Employee Phone Number

Employee Email Address

Did this person attend college?YesNo

Name of College Attended

Degree/Year

Did this person attend graduate school?YesNo

Name of Graduate School Attended

Degree/Year

Volunteer Experience and Corporate/Civic/Foundation/Board Memberships

Race/Ethnic Origin/Cultural IdentityAmerican Indian/Alaskan NativeAsian/Pacific IslanderAfrican AmericanHispanic/LatinoAsian IndianMulti-CulturalOther/Combined EthnicityUnknownCaucasian/non-HispanicPrefer to not discloseOhio Wesleyan seeks to broaden its efforts to raise awareness in the areas of race and culture; thereby making itself more relevant now and in the years to come. Understanding the diversity of OWU Parents and Guardians, including information about race, ethnic origin, and cultural identity will help us better meet the needs of the OWU community and guide future programming.

Do you want to input information about a second parent/guardian?YesNo

Second Parent/Guardian Information

Name *

Preferred Name *

Maiden Name(if applicable)

Birthdate

Relationship to Student *

Marital Status *MarriedSingleDivorcedWidowedDomestic Partnership

Spouse/Partner Name *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Home Phone Number

Cell Phone Number(if different from the Home Phone Number)

Email Address *

Employer Name

Employer Position/Title

Employer Street Address

Employer Apartment, suite, etc

Employer City

Employer State/Province

Employer ZIP / Postal Code

Employer Country

Employee Phone Number

Employee Email Address

Did this person attend college?YesNo

Name of College Attended

Degree/Year

Did this person attend graduate school?YesNo

Name of Graduate School Attended

Degree/Year

Volunteer Experience and Corporate/Civic/Foundation/Board Memberships

Race/Ethnic Origin/Cultural IdentityAmerican Indian/Alaskan NativeAsian/Pacific IslanderAfrican AmericanHispanic/LatinoAsian IndianMulti-CulturalOther/Combined EthnicityUnknownCaucasian/non-HispanicPrefer to not discloseOhio Wesleyan seeks to broaden its efforts to raise awareness in the areas of race and culture; thereby making itself more relevant now and in the years to come. Understanding the diversity of OWU Parents and Guardians, including information about race, ethnic origin, and cultural identity will help us better meet the needs of the OWU community and guide future programming.

Other OWU Relatives

1. Name

1. Class Year

1. Relationship to Student

2. Name

2. Class Year

2. Relationship to Student

3. Name

3. Class Year

3. Relationship to Student

Other Children

1. Name

1. Birthdate

1. Last School Attended / Graduation

2. Name

2. Birthdate

2. Last School Attended / Graduation

3. Name

3. Birthdate

3. Last School Attended / Graduation

Additional Information

Please share why you think OWU is the best college for your student? What made the difference for your family? *

We welcome your suggestions about other ways in which your talents and experience might enrich the Ohio Wesleyan community. Please tell us about any special interests, professional/volunteer experience, or expertise you have.

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If you have questions regarding this form, please contact Nancy Bihl Rutkowski at 1-855-OWU-1842.