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Update My Contact Information
Families Count at CSU Dominguez Hills!

Family and Parent Update Form

Stay Connected! If you are a CSU Dominguez Hills family or parent, please help us keep your contact information current by filling out the form below.


* = Required field


Student Information
 
*  
Student ID
Student Date of Birth *  (MM/DD/YYYY)    


Parent & Family Information
Relationship *
 
*  

(MM/DD/YYYY)     
 
 
  *  
Home Phone () -
Cell Phone () -  
   
Is spouse a CSUDH Alum?  


Parent & Family Education Information
I am CSUDH Alumni
Grad Year 1 (Spring 2009)
Grad Year 2 (Spring 2009)
   


Parent & Family Employment Information
Street Address 2
City
State     
Country
Business Phone () -  
Business Fax () -  
Submit    Reset
If you have questions or need help on this form, please contact the IT Help Desk at (310) 243 - 2500 or via e-mail at helpdesk@csudh.edu or submit your help web ticket here.