Update Alumni Contact Info
1.
First Name: *
2.
Last Name: *
3.
Maiden Name (if applicable):
4.
Address:
5.
Home Phone:
6.
Work Phone:
7.
Email Address: *
8.
Date of Birth:
9.
Year Graduated: *
10.
College Address (if applicable):
11.
College Phone (if applicable):
12.
College Email (if applicable):
13.
Spouse First Name
14.
Spouse Last Name
15.
Spouse Maiden Name (if applicable)
16.
Is your Spouse an NCS alumnus?
Yes
No
17.
Child 1 Name
18.
Child1 Date of Birth
19.
Child 1 School Attending (if applicable)
20.
Child 2 Name
21.
Child 2 Date of Birth
22.
Child 2 School Attending (if applicable)
23.
Additional Children (Name, Birthday, School Attending)
24.
In the space below, please provide any information about yourself that you would like to share with your classmates and that can be added to NCS Alumni publications (online and print). For example: college attending and current major, degree(s) earned, employment, marriage, birth of child, etc.:
25.
Would you be willing to be contacted by a NCS student regarding summer job or internship opportunities? *
Yes
No
26.
Name of Employer:
27.
Please give a brief description of your job and its responsibilities:
28.
Would you be willing to speak to current students about your career?
Yes
No
29.
Would you be willing to be contacted by a NCS student if he or she wants information about the college or university you attended?
Yes
No
30.
Please list the college(s) attended and the degrees earned:
31.
Do you have any comments you would like to share?
Submit