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Account Details

Profile Details

Graduation Year (required)

List the "Year" you graduated Weequahic. If you graduated prior to 1963, there were two graduations each year. Enter the "Year" of graduation, then the "Month" "Jan" or "June" after the "Year." Examples: 1953 Jan. or 1953 June. If a FACULTY member, type Faculty in Box.

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E-Mail Address (required)

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First Name (required)

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Last Name (required)

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Maiden Name

or last name at WHS if different from current last name.

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Nickname

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Birthdate

Day - Month - Year

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Spouse Name

Name of wife, husband, or partner

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Children Names

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Home Phone Number

Please include your area code and put a dash after area code and after first three digits of phone number.

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Business Phone Number

Please include your area code and put a dash after area code and after first three digits of phone number.

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Mobile Phone Number

Please include your area code and put a dash after area code and after first three digits of phone number.

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Street

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City

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State

Leave blank if outside the US or Canada

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Zipcode

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Country

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Place of Employment

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Career Area / Occupation / Job Title

If RETIRED, please enter your career area, occupation, or type of job(s) you previously had.

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1. College / Trade School Name

Name of college or trade school you are attending or from where you have graduated.

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1. College / Trade School Degree or Certification

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1. College / Trade School Area of Study

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1. College / Trade School Graduation Date

Enter expected date if currently a student

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2. College / Trade School Name

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2. College / Trade School Area of Study

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2. College / Trade School Degree or Certification

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2. College / Trade School Graduation Date

Enter expected date if currently a student

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3. College / Trade School Name

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3. College / Trade School Area of Study

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3. College / Trade School Graduation Date

Enter expected date if currently a student

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3. College / Trade School Degree or Certification

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Hobbies / Interests / Skills

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Personal Notes

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Your Personal Web Page Address

List if you have your own web page.

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Comments about the Web Site and this form

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