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Alumni Update Form

ALUMNUS/-A INFORMATION
Full Name & Record Information

Full Name
Title

Year of Graduation
Date of Birth (mm/dd/yy)
Social Security Number
 
Contact Information

Street Address
Apartment

Town/City
State/Province/Country
Zip/Postal Code

Telephone Number
Email Address		  
 
Work Information

Employer
Job Title
Type of Business

Street Address
Suite

Town/City
State/Province/Country
Zip/Postal Code

Telephone Number
Email Address		 Yes   No
Matching gift company?
 
Additional Information

Church Affiliation
Congregation & Place of Worship

Please list any sports, clubs, organizations, or activities you were involved in at Mars Hill.

Please list any degrees or certificates you have earned since attending Mars Hill.

Please list any honors or awards you have received since attending Mars Hill.
 
FAMILY INFORMATION
Spouse (if applicable)

Full Name
Title

Anniversary (mm/dd/yy)		 Yes   No
Is your spouse an alumnus/-a?
If so, what class?

Spouse's Employer
Spouse's Job Title
Spouse's Type of Business

Spouse's Work Street Address
Spouse's Work Suite

Town/City
State/Province/Country
Zip/Postal Code

Spouse's Work Telephone Number
Spouse's Email Address		 Yes   No
Matching gift company?
 
Children (if applicable)

First Child
Birthday (mm/dd/yy)		 Yes   No
MHC alum?

Second Child
Birthday (mm/dd/yy)		 Yes   No
MHC alum?

Third Child
Birthday (mm/dd/yy)		 Yes   No
MHC alum?

Fourth Child
Birthday (mm/dd/yy)		 Yes   No
MHC alum?

Fifth Child
Birthday (mm/dd/yy)		 Yes   No
MHC alum?

Please list any additional children, their birthdays, and whether or not they are alumni in the box above.

  *Please click the submit button one time. Thank you.
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