Jacksonville College Contact Information Form
Dear Friend,
Our association is experiencing growth in connectedness, size, and support of our school. Please take a few moments to update your contact information so that we may attempt to keep you informed about your  Jacksonville College community as well as the college and its ministries.
Most of the information on the first page is required in order to submit the results.  Additional information is helpful to us, but not required.  
This is an important and formidable task. We encourage you to forward this form to other alumni and ex students as well.  
Please use this form for individual entries only.  Husbands and wives should be separate entries.
We have added Date of Birth (DOB) as a question because it is tremendously helpful in our searches of alumni and maintenance of accurate records.

Thanks for helping us,
Randy & Jean

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Contact Information
Tell Us About Yourself
First Name *
Please use your legal first name. We will ask for your preferred name later.
Middle Name
Last Name *
Maiden Name
Nickname
Nickname or name you prefer to use
Email Address
Please enter complete email address in proper format.  example Johndoe@abc.com
Mobile Phone
Please enter your mobile number in xxx-xxx-xxxx format.
Date of Birth:  Please enter in Month, Day, and Year: this assists us with duplicate names
MM
/
DD
/
YYYY
Mailing Address - Line 1 *
Address where you receive your mail.
Mailing Address - Line 2
Use if mailing address requires second line.  Example   Apt. Number
City *
State *
Country :   *
Country if other than USA:  type in anwer
Zip Code *
Phone: mobile (preferred)
Please enter your land line number in xxx-xxx-xxxx format.
Phone: land line
Year last attended Jacksonville College: Please enter the spring of the calendar year you last attended: If you attended fall 74 to spring 76, the answer would be 1976
Preferred Method of Communication
What is your preferred method of communication from the Jacksonville College Alumni Association?
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