Update Form

Have you recently moved? Changed your email address? Got a new job? Interested in being more involved with O∆K?

Please help us keep our records up-to-date by filing the form below. This form will also give you an option to submit information to use as membership recognition in our next issue of The Circle.

If you have trouble with the form once updated, or would rather send the information via email, please submit your information to the O∆K National Office at odknhdq@odk.org. By updating your records, we will have the correct address to send you The Circle, Keynotes and other important updates about Omicron Delta Kappa.

General Information

First name

Maiden name (if applicable)

Last name

Primary Email

Secondary Email

Address (line 1):

Address (line 2):

City

State

Zip Code

Phone:

Undergraduate Information

College/University where initiated:

Year initiated into Omicron Delta Kappa:

Year of graduation from undergraduate institution:

Post-Graduate Information

Please use the fields below to list any postgraduate education you have completed or are in the process of completing.

Post-graduate institution:	Field of study:	Degree obtained (and year):

Employment Information

Current Employer:

Job title/position:

Spouse first name

Spouse Information (if applicable)

Spouse last name

Spouse employer

Position/title

Is there any additional information you would like to share with Omicron Delta Kappa at this time, such as major life events, awards/accomplishments, etc.?