Alumni Information Form

Required

Bethany alumni, you are the fullfillment of Bethany's mission and vision. Thank you for staying in touch!

Please complete the form below. Required fields are marked with an astrisk*.

Namerequired

First Name

Maiden (optional)

Last Name

Graduation Yearrequired

Email Addressrequired

Phone Number

Announcement or update for The Bethany Beacon

I would like to know more about the Alumni Council

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Update us on your education, work, and family life.

University/College/Higher Education, Year Graduated, and Degree(s)

Job Title and Employer

Marital Status

Spouse's Name (if applicable)

Spouse's class (if Bethany grad)

Spouse's Occupation and Employer

Child(ren)'s Name(s) and grad years (if Bethany alum)

Parent's Names

Parent's Address/Phone

Siblings/Parents who graduated from Bethany (list grad year)

Religious Affiliation and Congregation (if applicable)

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