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Alumni Information Update
Note: All fields/sections marked with a
*
are required.
Basic Information
Salutation:
-- Select --
Mr.
Mrs.
Miss
Ms.
Dr.
Other
Suffix:
None
Jr.
Sr.
Ph.D.
M.D.
Other
First name:
*
Middle initial:
Last name:
*
Maiden name:
*
Write "None" if not applicable.
Preferred first name:
Collegiate Information
Name at graduation:
*
Graduation year:
*
Preferred class year:
Degree:
Major/area of study:
Campus attended:
-- Select --
Columbia, MO (Home campus)
Online Campus
Aurora, CO
Christian County, MO
Coast Guard Island, CA
Crystal Lake, IL
Elgin, IL
Fort Drum, NY
Fort Leonard Wood, MO
Fort Sill, OK
Fort Stewart, GA
Fort Worth, TX
Freeport, IL
Guantanamo Bay
Hancock Field, NY
Hunter Army Airfield, GA
Jacksonville, FL
Jacksonville (NAS), FL
Jefferson City, MO
Kansas City, MO
Lake County/Great Lakes, IL
Lake of the Ozarks, MO
Lemoore, CA
Los Alamitos, CA
Marysville/Everett, WA
Moberly, MO
NWS Charleston, SC
Orlando, FL
Patrick Air Force Base, FL
Redstone Arsenal, AL
Rolla, MO
Salt Lake, UT
San Diego, CA
San Luis Obispo, CA
St. Louis, MO
Whidbey Island, WA
Other
Activities, athletics, and organizations in which you participated while you attended Columbia College:
(Please include the years.)
Additional Information
Birthday:
*
Last 4 digits of SSN:
*
Write "None" if international.
Home address:
*
City, State, Zip:
*
Country:
*
E-mail address:
Phone number:
*
Employer:
Position/title:
Work address:
City, State, Zip:
Work phone number:
Does your employer match gifts to non-profits?
Yes
No
Not sure
Seasonal address:
City, State, Zip:
Country:
Period:
to
Seasonal phone:
Where do you prefer to receive your Columbia College mail?
Home
Business
Seasonal during above dates, then Home
Seasonal during above dates, then Business
Would you like to be a class agent and assist with alumni events?
Yes
No
Would you like to become an alumni mentor?
Yes
No
Military Information
Current status:
N/A
Active
Retired
Other
Rank:
Branch:
Spouse/Partner Information
Name:
Position/title:
Employer:
Work address:
City, State, Zip:
Country:
College/university, degree, graduation year:
How would you like us to address joint mailings?
For example: Mr. and Mrs. John H. Smith
or
Mr. John H. Doe and Mrs. Mary Q. Doe
Household Information
Child's name
Birthday
HS graduation year
Do you have other family members who have attended Columbia College?
(Please list their names and years attended.)
Class Notes
What's new in your life?
Do you have a new job? Change of address? Getting married? Let us know by filling in this form.
I would like this news to be included in the Alumni magazine.
Yes
No