Editing previous response:

Please fix the highlighted areas below before submitting.

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

Graduation Year*

Answer Required

Maiden name (if applicable)*

Answer Required

Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Phone (Mobile)*

Number Required

Email*

Answer Required

Announcement or update for BCS Bulletin

Answer Required

I would like to know more about the Alumni Council.

Answer Required

Yes

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

University/College/Higher Education and Year Graduated

Answer Required

Degree(s)

Answer Required

Job Title

Answer Required

Employer

Answer Required

Marital Status

Answer Required

Spouse's Name (if applicable)

Answer Required

Spouse's class (if Bethany grad)

Answer Required

Spouse's Occupation

Answer Required

Spouse's Employer

Answer Required

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

Answer Required

Father's name

Answer Required

Mother's name

Answer Required

Parent's Address/Phone

Answer Required

Siblings/Parents who graduated from Bethany. List grad year

Answer Required

Religious Affiliation

Answer Required

Congregation (if applicable)

Answer Required