Alumni : Information Form
Your Information...
First name:
Middle name:
Last name:
Maiden name:
Current occupatiopn:
Years attended CJS/FRCDS:
-
If graduated, graduation year:
Your Spouse's Information...
Spouse first name:
Spouse middle name:
Spouse last name:
Spouse current occupatiopn:
Contact Information...
Address:
Address continued:
City:
State:
Zip code:
Country:
Home:
eg. xxx-xxx-xxxx
Work
eg. xxx-xxx-xxxx xxxx
:
Fax:
eg. xxx-xxx-xxxx
Email:
Children's Information...
Child #1 name:
Child #1 date of birth:
eg. xx/xx/xxx
Child #2 name:
Child #2 date of birth:
eg. xx/xx/xxx
Child #3 name:
Child #3 date of birth:
eg. xx/xx/xxx
Child #4 name:
Child #4 date of birth:
eg. xx/xx/xxx
Other Info...
Would you like to be on our mailing list?
Yes
No
Would you like your name and contact information listed in the Alumni Directory?
Yes
No
If you're in touch with other CJS/FRCDS Alumni, please encourage them to visit this page and enter their information.
Please share with us any news about yourself, your family and any special memories of CJS/FRCDS:
1600 Dundee Ave. | Elgin, IL 60120 | phone: 847-888-7910 | fax: 847-888-7947
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