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** Important Notice**
The information collected below only updates the Parent and Family Connection database. To verify that a student’s official information is current with the Registrar's Office, students need to check
their PIN accounts.
 
PARENT'S INFORMATION - MOTHER *
 
First Name MI Last Name
 
Last 4 digits of Social Security Number
 
Home Address City
 
State Zip Code Home Phone
 
Preferred email address Work Phone
 
Occupation Employer
 
 
PARENT'S INFORMATION - FATHER
 
First Name MI Last Name
 
Last 4 digits of Social Security Number
 
Home Address City
 
State Zip Code Home Phone
 
Preferred email address Work Phone
 
Occupation Employer
 
Please check if parent/guardian is a Murray State graduate. Mother year
Father year
 
 
STUDENT
 
First Name MI Last Name
 
Birthdate Last four digits of Social Security Number (for database ID only)
 
Student Classification: Freshman
Sophomore
Junior
Senior
Graduate Student
 
Additional Comments:
 

  


If you do not wish to submit your information online, print and mail the form to:
Parent & Family Connection
100 Easley Alumni Center
Murray, KY 42071

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