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Name
First Name  
Maiden Name  
Last Name  
Class Year (if CC alumnus/a)  
Birth Date:  
Address/Phone/Email
Address    
City    
State/Province Postal Code:    
Country  
Home Phone  
Home Fax  
Personal Email  
Personal Web Page  
Education    
Other Institutions Attended Degree

Abbreviation
(ie: M.A., MSW, Ph.D., etc.)

 Date  
 
 
 
Employment    
Company    
Job Title    
Address    
City    
State/Province Postal Code:      
Country    
Work Phone
Ext.
     
Work Fax    
Work Email    
Boards/Titles    
 
 
 
Marriage    
Marriage date:      
       
Spouse/Partner Information
First Name            
Maiden Name            
Last Name            
Class Year
(if alumnus/a)		            
Birth Date:            
If your spouse is an alumnus/a

Spouse Education Information

     
Other Institutions Attended Degree Abbreviation
(ie: M.S., MSW, Ph.D.)		 Date  
 
 
 
Spouse Employment Information        
Company:      
Job Title:      
Address:      
City:      
State/Province: Postal Code:          
Country:        
Work Phone: Ext.          
Work Fax:        
Work Email:        
           
           
Children    
Name (first, middle, last) Birth Date: Gender: CC Year:
Name: (first, middle, last) Birth Date: Gender: CC Year:
Name: (first, middle, last) Birth Date: Gender: CC Year:
Name: (first, middle, last) Birth Date: Gender: CC Year:
Preferences
Would you like college information, news and event emails sent to your home or work email?  
Home e-mail              
Work e-mail              
   
My spouse/partner would like to receive mail from the college:  
Jointly              
Individually              
Volunteer

I would like to be considered as a potential regional Colorado College volunteer. (Some CC offices might wish to utilize your volunteer services in your community. Checking this box does not obligate you to anything however.) Some of the ways to volunteer are:

  • Host or help plan an event for parents and alumni in your area.
  • Share your experience with prospective students and their parents at admission events.
  • Submit story ideas for the quarterly parent newsletter.
  • Identify internship opportunities at your company for our students and/or recent grads.
  • If you have a spare bedroom, consider hosting a young alumnus who may be interviewing for a job or doing an internship in your area.
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    Comments/Suggestions