Please complete the following information:

Name:

Maiden name (if applicable):

Address

City, State & Zip:

Telephone:

Cell Phone:

E-mail:

Year of SJA Graduation:

High School Name and Year of Graduation:

College/University Attended and Year of Graduation:

Degree/Major:

Honors/Awards received in College:

Name of Company/Employer:

Title/Position:

Does your employer have a charitable matching program?:
Yes    No

Marital status:
Married    Engaged    Divorced    Widowed

Fiancé/Spouse's Name:

Is he/she a graduate of SJA?:
Yes    No

Year of spouse's SJA graduation:

If there are other SJA graduates in your family, please enter name/relationship/maiden name (if applicable), current address, and year of SJA graduation:

What online social network do you use, if any?

Do you have any news you'd like to share with your classmates?