Alumni

Information Update Form

Please help us keep our information current. *required fields

Personal Information

    
Prefix First Name*
Middle Name Last Name*
Last name while attending Bethel Graduation Year*
Preferred Class Year
Address*
City* Zip Code *
State* Phone ( )
Country*
Email Address

If the above address is new, please complete the following information for cross reference purposes.

Former Address
City Zip Code
State Phone ( )
Country

Family Information

Spouse
Maiden Bethel Alum Yes No
Date Married
Child's Name
Birthdate
Year of High
School Graduation
1.
2.
3.
4.
5.

Education Information

Degrees not received from Bethel
(If you have more than one degree to list here, please put the additional degrees in the Comments section.)
Institution
Grad Date Degree Name
Major

Employment Information

Employer
Title/Position
Start Date    
Address
City Zip Code
State Phone ( )
Country      

Activity Information

Activities, Athletics, and Organizations in which you participated while you attended Bethel: (please include the years).
 

What's new in your life?

Comments:      

Check this box to have your information added to the Bethel Magazine.

*Please Note no HTML Code is allowed to be sent.