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Alumni Information Form

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

Thank you for helping us stay in touch with our alumni!

Full name*

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Graduation Year*

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Maiden name (if applicable)*

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Address

Street Address

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City

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Zip/Postal

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Phone

Number Required

Email*

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College/Higher Ed and Year Graduated

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Degree(s)

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Job Title

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Employer

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Marital Status

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Spouse's Name (if applicable)

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Spouse's class (if Bethany grad)

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Spouse's Occupation

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Spouse's Employer

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

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Father's name

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Mother's name

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Parent's Address/Phone

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Siblings/Parents who graduated from Bethany. List grad year

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Religious Affiliation

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Congregation (if applicable)

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Announcement or update for BCS Bulletin

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