Alumni Directory Form

Name of Alumni ( please include maiden name):_______________________________

Year of graduation from Laurens:________________________________

Colleges attended:____________________________________________

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Degrees earned:______________________________________________

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Present address: _____________________________________________

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Present phone number: ________________________________________

Types of Occupations/Jobs Held:
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Travel experiences related to work:
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Please provide any other information that you would enjoy sharing about the alumni; names and ages of children, life experiences, and so forth. Please remember, this information may be shared with present Laurens students and community members:

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Please provide additional thoughts or comments on how we might improve this form for the purpose of gathering information from our alumni:

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I, ________________________, understand that the information provided on this form may be shared with present students of the LCS, included in school newsletters, and printed in informational brochures about the district. My signature indicates that the district has the right to include any and all information on this form for such purposes.

Signature: __________________________________________________

Date: _____________________