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ALUMNI
TELL US ABOUT YOURSELF

Tell Us:

1.
Title
2.
Name (First, Middle, Last)
3.
Maiden Name
4.
ICHS Graduation Year
5.
Spouse Name
6.
* Is Spouse an ICHS Graduate
Yes   No
7.
Spouse Year of Graduation
8.
Spouse's Maiden Name
9.
Children's Names and Ages (i.e. Jack-8, Jill-9)
10.
Address
11.
City
12.
State
13.
Zip Code
14.
Country
15.
Email
16.
Employer
17.
Work Address
18.
City
19.
State
20.
Zip Code
21.

Work Phone
22.

Home Phone
23.
College Attended / Currently Attending
24.
Occupation
25.

Something of interest
This form will be used solely to collect information about our alumni and will only be used by Illiana Christian High School.

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