Alumni Information Form

The form below:
1) allows you to place announcements in the BCS Bulletin and
2) helps Bethany keep updated on the whereabouts of its alumni.

Last Name: *

First Name: *

Middle Initial:

Graduation Year: *

Maiden Name:

if applicable

Address:

City:

State/Province:

ZIP/Postal Code:

Country:

Home Phone:

Email:

Web Site:

College(s)/Seminary Attended and Year Graduated:

Degree(s):

Job Title:

Employer:

Employer Phone:

Marital Status:

Single

Married

Divorced

Widowed

Spouse's Name:

if applicable

Spouse's Class:

if Bethany Grad

Spouse's Occupation:

Spouse's Employer:

Spouse's Phone:

Child(ren)'s Name(s) and Grad Years if Bethany Alum:

Father's Name:

note if deceased

Mother's Name:

note if deceased

Parent's Address:

Second Parent's Address:

if applicable

Parent's phone:

Second Parent's Phone:

Siblings and parents who have graduated from Bethany. List Grad Yr.:

Religious Affilation:

Congregation:

Announcement for Bulletin: *

Information that you would like to share with other alumni in the BCS Bulletin alumni section