MC Office of Family EngagementLoading...Connect with us! Completing this form will allow us to keep you informed on what’s happening on campus and get you plugged into how you can volunteer. *The information you share will not be used outside of the University.To continue, please choose, “Yes” then choose an area of interest. We will be in touch!YesNoPlease choose from the Options below(Multi-select):Please choose from the Options below(Multi-select):Assisting with Family Weekend in SeptemberAssisting with Move-In Day in AugustAssisting with On-Campus Preview DaysAssisting with Summer OrientationGiving to the Annual Parent FundHosting a launch party for students in your areaHosting a recruitment/alumni event in your homeMC’s Day of GivingOrganizing Socials for Parents of AthletesParent Leadership CouncilTailgating During FootballYour Student(s) Information:We want to connect you with your student(s)How many Children do you have currenty enrolled at MC? (Include incoming Fall Freshman/Transfers in count)123Student First NameStudent Middle NameStudent Last NameStudent Preferred NameCurrent Students DOBCurrent Students Grad YearSibling 2 InformationStudent 2 First NameStudent 2 Middle NameStudent 2 Last NameStudent 2 Preferred NameStudent 2 DOBStudent 2 Grad YearSibling 3 InformationStudent 3 First NameStudent 3 Middle NameStudent 3 Last NameStudent 3 Preferred NameStudent 3 DOBStudent 3 Grad YearYour Relationship to Student(s):FatherMotherPoint of ContactStep-FatherStep-MotherLegal GuardianRelativeYour PrefixDr.Mr.Mrs.Your First NameYour Last Name:Your SuffixJr.Sr.IIIIIIVVVIVIIVIIIIXXYour Email AddressYour BirthdateYour BirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Your Mobile Phone:Your Mailing AddressYour Mailing AddressCountryStreetCityRegionPostal CodeAre you an MC Graduate?YesNoIf so, what year did you graduate?Name at Graduation(We can ensure we have the right record):Provide Employer Information(Y/N):YesNoYour Employer:Your Job Title:Enter Another Parents/Guardians Information:YesNoYour Relationship to Student(s):FatherMotherStep-FatherStep-MotherLegal GuardianRelativeYour PrefixDr.Mr.Mrs.Your First NameYour Last Name:Your SuffixJr.Sr.IIIIIIVVVIVIIVIIIIXXYour Email AddressYour Mobile Phone:Your BirthdateYour BirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Your Mailing AddressYour Mailing AddressCountryStreetCityRegionPostal CodeAre you an MC Graduate?YesNoIf so, what year did you Graduate?Name at Graduation(We can ensure we have the right record):Provide Employer Information(Y/N):YesNoYour Employer:Your Job Title:Would you be willing to share a little more family information with us?YesNoFuture Choctaws(Y/N)?YesNoPlease list below:First Name:Last Name:Date of Birth:Date of Birth:JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900High School Grad Year: First Name:Last Name:Date of Birth:Date of Birth:JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900High School Grad Year:Any Relatives who are MC Alums(Y/N) ?YesNoPlease list below:Relative One:First Name:Last Name:DOBDOBJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Grad Year:Relative Two:First Name:Last Name:DOBDOBJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Grad Year:Thank You!Thank You!AlumniChurchCorporationDonor Advised FundEstateFaculty/StaffFormer Faculty/StaffFormer TrusteeFoundationFoundation BoardFoundation-Personal Family FriendFoundation-Private Fdn/TrustFriendGroupsLaw School AlumniLaw School FriendMain Campus AlumniMS Baptist Convention BoardNon-Degree AlumniParentPotential Super AlumniRetired Faculty/StaffRetired Faculty/Staff SpouseSpouse of Deceased Faculty/StaffStudentSuper AlumniTribute DonorTrusteeAdmissionsAlumniParentParent of a Former StudentSubmit