Bio Update - Salem Academy

Title

Your Name(Required)

First Middle Last

Maiden Name

Nickname

Preferred First Name

Preferred Mailing Name

Spouse's Name

First Last

Your Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Email Address(Required)

Your Phone(Required)

Date of Birth

Marital Status

Salem Academy Class Year

Salem College Undergraduate Degree Year

Year you completed your undergraduate program.

Salem College Graduate Degree Year

Year you completed your graduate program.

Other College(s) attended or attending, graduation date(s) or year(s) attended, degree(s) or certification(s) earned for undergraduate or graduate degree education.

When making decisions about which college to attend, current Salem students could utilize alumnae connections to many institutions.

Employment Status

Company Name

Job Title

Children

List your children above: Name, Gender, Date of Birth (mm/dd/yyyy)

Grandchildren

List your grandchildren above: Name, Gender, Date of Birth (mm/dd/yyyy)

Are you willing to host or assist with an alumnae gathering in your area?

Yes

How would you prefer to receive information from Salem?

Mail

Phone Call

Email/eNewsletter

Social Media (Facebook, Twitter, etc.)

Website

Check all that apply.

I am interested in learning how I can support Salem College.

Please call me

Please email me

Check all that apply.

I am interested in learning more about the Salem College Black Alumnae/i Collective

As a member

As an ally

Important information to share with classmates and Salem:(Required)

Please use this space to write a brief update to share with your classmates and Salem.

Name

This field is for validation purposes and should be left unchanged.

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