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Alumni Search Form
Association Contact

We Would Like to Keep Track of You!

PLEASE SCROLL DOWN TO ENTER DATA INTO THE FORM!

This page is for an Alumni individual to enter your data into the Alumni Association Database.  The personal data you are entering must be verified prior to placing it in the Database or Web Site.  You can also Change your data through this Form below.

NOTE: Please place an "X" in the boxes listed below identifying what data you might want available on the Web Site or left off the Web Site.  If you want a preferred method of contacting you to be supplied on the Web Site (such as an email address), be sure to let us know.

If you do not want data available on the Web Site, also let us know.

When a message is received inquiring your contact location (Alumni Search), the Alumni Association will contact you alone, unless you publish a means to contact you.

 Person Supplying the Data:

 

First Name:

Last Name:

Maiden Name (optional):

Class Year:

Contact Information: (How do you want the Alumni Association to contact you?)

Email:

Do you want your email address listed on the Web Site: Yes No

Phone

Do you want your phone number listed on the Web Site:  Yes No

 Street Address:

City:

 State: Zip Code:

Select from the following any data you might want listed on the Web Site:

Street Address:  Yes No:

City & State: Yes No:

Comments/Data: (List the changes that you have made above or provide any comments about your personal data that you want the Association to be aware.

Thank you for your data submittal!