Change of Address

Personal Information

First Name: *

Last Name: *

Nickname:

example: T.J. for Thomas James

Maiden Name:

Email Address: *

Alumni Information

Class Year: *

Degree:

Spouse Information

Spouse's Name:

Spouse's Class Year:

If he/she is a Heidelberg graduate

New Address Information

Street Address: *

City: *

State:

Zip Code: *

Phone Information

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Word verification: * Type the characters you see in this picture.

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.

Contact Information
Office of Alumni Relations
310 E. Market Street
Tiffin, Ohio 44883
Telephone: (419) 448-2028
Fax: (419) 448-2057

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