Alumni Update Form *First Name Maiden Name ( if appl. ) *Last Name Nick Name *Year of Graduation Address *Street Address *City *State Please SelectAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming *Zip/Postal *Email *Mobile Home Phone Work Phone Birthdate Gender MaleFemale *Martial Status MarriedDivorcedSingle (never married)Widowed Name of Spouse (if appl., and year of graduation if CSHS graduate) Please list name, gender, and date of birth for each child (if appl.) College Grad? YesNoStill attending If checked "Yes OR still attending" above, which college/university If yes, what degree and what year of graduation Employer Name Employment Position/Title Employer Address Street Address City State Please SelectAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip/Postal *Would you like any of the above information shared in the alumni electronic newsletter? (Address, phone and email information is not printed unless you specifically request it to be shared.) If yes, please specify If you would like something separate in the alumni electronic newsletter, from what is provided above, please include that here Please note that information printed in the alumni electronic newsletter is at the discretion of the editor.
