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Your Contact Information

Name *

Nickname/Name while at Drew (maiden/other)

Preferred Email for Drew communications *

Preferred Phone number for Drew communications

Drew affiliation *

Your class year(s) at Drew *

Name of student currently attending Drew *

What activities (clubs, sports, etc.) did you participate in as a student?

Preferred address for Drew communications *

Preferred address for Drew communications

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State/Province

Zip/Postal

Country

Religion/denomination/UMC Conference

Race/ethnicity

Professional Information

Title/position

Company/organization name

Industry (e.g., human service, law, education)

Business address

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Zip/Postal

Country

Business phone number

Business email address

Which email would you prefer we use to stay in touch?

Personal

Business

Please list any additional schools attended and degrees received.

Family Information

Marital/union status Marital/union status

Date of marriage/union

Spouse/partner name

Spouse/partner's preferred email

Spouse/partner's relationship to student

Is your spouse/partner a Drew alum?

Yes

No

Spouse/partner college & graduation year *

Would you like to add your spouse/partner's professional information?

Yes

Please list any of your spouse/partner's additional schools/degrees

Spouse/partner's status (e.g., employed, in transition, retired)

Spouse/partner's industry (e.g., human service, law, education)

Spouse/partner's title/position

Spouse/partner's company/organization name

Spouse/partner's business address

City

State/Province

Zip/Postal

Country

Spouse/partner's business phone number

Spouse/partner's business email address

Which email would your spouse/partner prefer we use to stay in touch?

Personal

Work

Do you have children?

Yes

No

Name(s) and birthdate(s) of children

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