UPDATING ALUMNI INFORMATION

CRC is currently updating its Alumni list. We would deeply appreciate it, if you would complete the form below.

Please contact: David Goff dgoff@crc.edu
or
Art Smith artsmith@crc.edu

with the updated information or questions you may have

ALUMNI UPDATE

NAME
 
Salutation

Last Name

First Name

Middle Name

Maiden Name

Preferred Name

.
ADDRESS

Street Address

City

State

Zip

Country

Telephone Number

His Work Phone
His Cell Phone
His Email Address
Her Work Phone
Her Cell Phone
Her Email Address
.
DEMOGRAPHICS
Date of Birth

Social Security Number

Occupation
Church Attending
 
CRC HISTORY
Dates attended at CRC
Did you graduate?
.
FAMILY INFORMATION

Spouse

Maiden Name

Children

.
ALUMNI INFORMATION

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