Information Update Form for the Converse College Alumnae Association

Converse College Alumnae Information Update

Personal Information
Class Year
Prefix preferred
Name
Maiden Name
Street Address
City
State/Province
Country
ZIP/Postal Code
Home Telephone
Fax
Email
Business Information
Job Title
Employer
Street Address
City
State/Province
ZIP/Postal Code
Telephone
Spouse Information
Spouse Name
Spouse Alma Mater
Spouse Degree
Job Title
Employer
Academic Information
Advanced degree
Year anticipated/received
Institution
Field of study
Please check the areas in which you would be interested:
Provide an Internship/ Apprenticeship Opportunity
Provide contacts with hiring personnel
Host an Alumnae meeting in your geographical area
Serve on an Alumnae telephone committee
Aid Admissions with student recruitment
Aid with Converse fundraising/Development initiatives
Other:

Additional Information

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