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Loyola University Chicago

Parent Engagement

Parent Information Form

Parent Information Form

Student Information
First Name
MI
Last Name
Major
Guardian 1
First Name
Last Name
Relationship to student
Primary E-mail
Address/City/State/Zip
Cell/Home phone
College Attended
Occupation
Employer
Guardian 2
First Name
Last Name
Relationship to student
Address/City/State/Zip
Cell/Home phone
College Attended
Occupation
Employer

Are you Interested in being involved?

(please check all that apply)


We welcome your suggestions about other ways in which your talents and experience might enrich the University community.
Please tell us about any special interests or expertise you might share.
Please list any relatives who have attended Loyola University Chicago.
Name/Class Year
Name/Class Year

Loyola

LOYOLA UNIVERSITY CHICAGO · PARENT ENGAGEMENT · 820 N. Michigan Avenue · Chicago, IL · 60611 · 312.915.7283

Notice of Non-discriminatory Policy