TCU Retiree Contact Information
Please use the form below to keep your information current. Thank you!

PLEASE NOTE: you can scroll up and down within this form to edit your responses, but DO NOT USE your browser's back-arrow or all your responses will be lost; everything is saved only when you hit "submit" at the end of the form.

* Required
What is the best way for us to correspond with you? *
Please note -- we save on expenses by using email if at all possible. If you select "regular mail" your newsletters will be delivered to your street address. For other announcements and reminders we will use email so that information reaches you in a timely way.
Please type your FIRST NAME *
Your answer
Please type your LAST NAME *
Your answer
Title *
Choose
Dr.
Ms.
Mr.
Mrs.
Suffix (i.e. Jr., Sr., III)
skip this item if you do not wish to include a suffix
Choose
Jr.
Sr.
II
III
Please type your current street address *
Your answer
Address line 2 (skip this field unless needed)
Use this item for a PO Box if needed, or if you are using a C/O name in the first line of your street address
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Phone number *
If you prefer not to provide a phone number, type "x" in the blank
Your answer
Email: *
Type "prefer regular mail" if you do not use email
Your answer
Please indicate your status as former faculty, former staff, spouse or partner of retiree: *
If not, choose other options
With what department or campus unit were you affiliated? *
(i.e. "Geology" or "Counseling")
Your answer
Do you consent to have your contact information listed in our membership directory? *
The directory will be secure, accessible only to registered users at our TCURA website.
Required
Is there anything else we need to know regarding your contact information?
Your answer
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