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1954-2008  •  Celebrating 50+ Years of Service to the Greater Monsey Community

Alumni
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Alumni Questionnaire

 

First Name:
Current Last Name:
Last Name Used When Enrolled at School:
Year Graduated:
Birth Date:
Permanent Mailing Address:
Address:
City:
State:
Zip:
Home Phone:
Email:
Occupation:
Parent' s Names:
Mother:
Father:
High School Attended:
Year of HS Graduation:
College Attended:
Degree Achieved:
Year of Graduation:
Graduate School Attended:
Degree Achieved:
Year of Graduation:
SPOUSE SECTION Please continue on to QX if no applicable:
Marital Status:
Spouse’s Name (if applicable):
Is Spouse an Alumnus?
If yes, year of graduation:
Children’s Names, ages, grade and school(s) attending:
If any of your siblings graduated from ASHAR, please list their names, year graduated, phone number and e-mail address:
Please list the names, addresses and phone numbers of any classmates who you keep in touch with:
Please use the lines below to tell us a little about yourself and your family:




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