Obituary Notification - Roosevelt University

Obituary Notification Form

Your Contact Information

First Name

Last Name

Home Address

Preferred Phone Number

Phone Type

Home

Cell

Work

Preferred Email

Do you want your contact information included in the alumni record?

Yes

Alumni Information

First name of deceased

Last name of deceased

Last name while enrolled/maiden/past names

Date of death

Link to obituary

Please share any RU memories your loved one had of the University.

I do not want this information listed publicly

I would like to discuss estate planning with a representative from Advancement Services

Any other comments/concerns