Update Your Information

Getting to Know You…Again!

Stevens Cooperative School Alumni Data Sheet

Please take a few minutes to tell us about yourself and your family. You may simply ignore the questions that don't apply to you.

Name:
If different, your name when you were at Stevens:
Email:
Class Year:
Date of Birth: (mm/dd/yy)
What year did you enroll at Stevens?
How old were you?
What grade did you enter?
What year did you leave?
How old were you?
What grade?
If you left before completing the highest grade (4th, 5th, or 6th), why did you leave?
Address
Address2
City
State
Zip
Home Phone
Spouse and children's names:


Business Information
Business Name
Address
Address2
City
State
Zip
Work Phone
Work Fax
Work Email
How long have you worked there?
If less than a year, where did you work before? (Please include all places you have worked during the past 5 years.):
Your Occupation
How did you get into this line of work?
Hobbies?
Marital Status
Do you have children?
If Yes, please list names and ages:
If Yes, where do they go to school?
Do you have pets?
If Yes, please list kind of pet and names:


Your Continuing Education
Please include city & state following school names
Where did you go to school next?
Where did you go to High School?
College or Other Post-Secondary Training?
Graduate Work?
Post-Graduate Work?
What diplomas/degrees do you hold? (please check all that apply): High School Diploma
GED
Associates
Bachelors
Masters
Ph.D.
Other
Do you make annual contributions to any of the schools listed above? Yes   No
If yes, which ones?


About You and Stevens










Thank You.


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Through a developmentally appropriate curriculum, designed for varied learning styles, Stevens students become confident life-long learners and responsible citizens with the skills to succeed beyond the School’s doors.”