Notification of Deceased Faculty
Name
*
First Name
Middle Name
Last Name
Year(s) Taught at Manatee
*
Include the actual years if possible - Thanks
Subject(s) Taught
*
Date of Birth
Where born if known
Date of Death
*
Link to Obituary or Funeral Home
*
Please indicate if unknown or a cremation
Where Interred if known
Provide any additional information that would be helpful to us (ie: Year graduated if an MHS graduate, Maiden name to help us find in our records, any additional information you would like to share)
*
Your Name
*
Your Email
*
example@example.com
Your Telephone Number
*
We may need to reach you if we have questions
Format: (000) 000-0000.
Indicate your Relationship to Deceased
*
Thank you for notifying us
Submit
Should be Empty: