CHS68 Alumni and Faculty Information

Alumni and Faculty Information
Please fill in the information in the questionnaire below. Your mailing address and telephone information will only be used for reunion-related mailings. If you consent, your e-mail address, "My Story" and message to the class will be posted on the class website.
Category:*

1964-68 Alumni1964-68 Faculty
Contact/Mailing Information
Name:*

First NameLast Name
Maiden Name (if applicable):
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail:*

Confirmation Emailexample@example.com
Home Phone Number:

Area CodePhone Number
Cell Phone Number:

Area CodePhone Number
May we add your email address to the directory on the class website?*

YesNo
Personal Information
Occupation:
Single or Married?

SingleMarried
If married, when were you married?

MonthDayYear
If married, spouse's name:
If your spouse is a CHS classmate, what year did they graduate?
Children (share whatever information you would like):
Grandchildren (share whatever information you would like):
"My Story" - Tell us what you've been up to since 1968.
Please upload a photo that you would like included in your "My story."

Upload a File

Cancelof
May we add your "My Story" to the class website?

YesNo
Message to the class:
May we add your message to the class website?

YesNo
Faculty
If you were a 1964-68 faculty member, tell us something about yourself and what class(es) you taught.
Should be Empty:

Alumni and Faculty Information