|
Stay connected by completing and submitting this form so that the Alumni Office can stay in touch with you.
If you have any questions or would prefer to update your records over the telephone, call the Alumni Office at 724-847-6590. |
|
*Last Name |
|
|
*First Name |
|
| Middle Name |
|
| Suffix (Jr., etc.) |
|
| Maiden Name |
|
| Nickname |
|
| *Class year |
|
| If ADCP Cohort# |
|
| Degree |
|
| Major |
|
| Street Address |
|
| City |
|
| State |
|
| Zip |
|
| Preferred E-mail |
|
| Home Phone |
|
| Marital Status |
|
| Date of Marriage |
|
| Spouse Name |
|
| Is Spouse an alum? |
Yes No |
| Undergraduate Class year |
|
| Please include any Geneva College graduate degree in addition to degrees from other institutions. |
|
| Children: names and birth years |
|
|
| Lists sport(s) or activities you were involved in at Geneva |
|
| Years lettered or offices held |
|
|
| Employer's name |
|
| Your job title |
|
| Street Address |
|
| City |
|
| State |
|
| Zip |
|
| Is your employer a gift-matching company? |
Yes No |
| Please use this space to tell us your latest personal or professional news. |
|
|
| Is it ok to publish your updated information in the Geneva Magazine and on your class Web page? |
|
| Guidelines for submitting photos for the Web site: The photo should only be 72 dpi and no larger than 3"x 2" or 250 pixels. (Please include Name and class year when submitting photo.) |
Email Photos To: alumni@geneva.edu |
Guidelines for submitting photos for Print: The photo should be high resolution. (Please include Name and class year when submitting photo.) |
Email Photos To: alumni@geneva.edu |
|
| I would be interested in helping to spread the word about Geneva College by participating in recruitment events in my area. |
Yes No |
| Any comments or suggestions |
|
| |
|