Alumni Information Form
First Name *
Last Name *
Middle Name (Initial) or Maiden
Full Name while at City As School HS (leave blank if same)
Title
Mr., Mrs., Dr., Capt., etc.
Suffix
Jr., Ph.D., M.D., Esq., II, III, etc.
Would you like to join the CASAA planning committee?
Clear selection
Please tells us your affiliation with City-As-School High School
Occupation
Primary Email *
Speaker *
CASAA will run mailings for news and special events. Please provide a Postal Address to facilitate this. *
Indicate your preferred postal address
Please enter your postal address, (including APT#) *
Please enter your home phone number
Please enter your work phone number
Please enter your cell phone number
Please enter your cell phone provider
This will allow us to communicate with you via text message
Please enter the year you will/would have/did graduate, ex.: 2002, 1970, Jan 1951, Jun 1932 *
Donate *
Check to indicate that you would like to provide support to the school and our current population in the following areas:
Mentoring
PLEASE SHARE THIS FORM WITH OTHER ALUMNI!
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This form was created inside of City-As-School High School.