Update Your Biography

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

Academy Alumnae, please update your biography on the Salem Academy website.

Title

First Name *

Middle Name

Maiden Name *

Current Last Name

Nickname

Preferred First Name

Preferred Mailing Name

Spouse's First Name

Spouse's Last Name

Address Line One *

Address Line Two

Address Line Three

City *

State/Province *

Zip or International Postal Code *

Country *

Home Phone

Cell Phone

International Phone

Preferred Phone *

Preferred Email *

Date of Birth

mm/dd/yyyy

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.

Additional college(s) attending or attended, major(s), graduation year(s) for undergraduate and graduate 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

Work Email

Work Phone

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)

Would you be willing to host a Salem student intern at your workplace during January Term?

Yes

No

Would you be willing to be contacted by a current student who may be interested in your alma mater?

Yes

No

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

Yes

No

How would you prefer to receive information from Salem?

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.

Class Notes

Please use this space to write a brief update to be published in the class notes publication.

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