Salem College Alumnae - Update Your Biography

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Update Your Biography

Please use this form to update your Salem College Alumnae Office records.

(*) required- form won’t submit unless these fields are completed

PERSONAL INFORMATION

Title:

*First Name:

*Middle Name:

*Maiden Name:

*Current Last Name:

Preferred first or nickname:

Academy Class Year:

College Class Year:

Graduate Degree Year:

Marital Status:

Birth Date:

Preferred mailing name:

*Preferred mailing address:

*City:

*State:

*Zip:

*Country:

*Home Phone:

( ) -

*Preferred email address:

Do you have a secondary/seasonal address?

Yes No

If Yes, complete the following secondary address information:

Address:

City:

State:

Zip:

Country:

Phone:

( ) -

FAMILY INFORMATION

Name of spouse:

Children:
Child 1:		Child 2:
Name:		Name:
Gender:		Gender:
Year of birth:		Year of birth:

Child 3:		Child 4:
Name:		Name:
Gender:		Gender:
Year of birth:		Year of birth:

Grandchildren:
Grandchild 1:		Grandchild 2:
Name:		Name:
Gender:		Gender:
Year of birth:		Year of birth:

Grandchild 3:		Grandchild 4:
Name:		Name:
Gender:		Gender:
Year of birth:		Year of birth:

PROFESSIONAL INFORMATION

Company Name:

Occupation:

Position:

Work Phone:

( ) -

I would like to help Salem by:

Being a STAR for Salem ( Salem’s Team of Admissions Representatives)

Providing a student with Jan Term housing

Talking with students about my career

Providing an internship for students

Networking with other alumnae

Becoming more active in my area Alumnae Club or starting a Club

Class Notes Information

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