Alumni Update/Class Note Form

Use this form to update your personal information and/or to submit a Class Note for publication in the Earlhamite and your Class Notes Web page.

Fields marked with an asterisk (*) are necessary in order to process your message.

Name
First Name: *
Middle Name or Initial:
Last Name: *
Maiden name, if different:
EC Class year: *
Marital Status:

Spouse/Partner
Full name:
EC Class Year, if alum:

Children
Children's names (first and last) and birthdates (mm/dd/yyyy format):

Contact Information
Home Address:
Home Phone:
Cell Phone:
Primary E-mail Address: *
Alternate E-mail Address:
Home Page URL :
Please include my e-mail address in the Alumni E-directory Yes No

Education
Advanced degrees? Please list Degree, School, Year

Business Information
Your job title:
Your employer:
Business Address:
Business Phone:
Describe your profession:
Is your work in the Govt, Profit or Non-Profit sector?

Does your work involve Domestic or International persons and groups?

Does your organization aim to work within existing societal structures or to change one or more societal systems?

Describe your role in determining the goals or strategies of your work organization?


Class Note
A Note to your Classmates: To be posted online and published in next Earlhamite. [Default] Only to be posted online. Only to be published in next Earlhamite.


Other Comments

Name