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Alumni Information Form

alumni header

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*.

Full name*

Answer required for "Full name"

Graduation Year*

Answer required for "Graduation Year"

Maiden name (if applicable)*

Answer required for "Maiden name (if applicable)"

Address

Street Address

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City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Phone (Mobile)*

Number Required

Email*

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Announcement or update for BCS Bulletin

Answer required for "Announcement or update for BCS Bulletin"

I would like to know more about the Alumni Council.

Answer required for "I would like to know more about the Alumni Council."

Yes

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

University/College/Higher Education and Year Graduated

Answer required for "University/College/Higher Education and Year Graduated"

Degree(s)

Answer required for "Degree(s)"

Job Title

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Employer

Answer required for "Employer"

Marital Status

Answer required for "Marital Status"

Spouse's Name (if applicable)

Answer required for "Spouse's Name (if applicable)"

Spouse's class (if Bethany grad)

Answer required for "Spouse's class (if Bethany grad)"

Spouse's Occupation

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Spouse's Employer

Answer required for "Spouse's Employer"

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

Answer required for "Child(ren)'s Name(s) and grad years if Bethany alum"

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)

Answer required for "Congregation (if applicable)"