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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