Alumni Information Form
Middle Name (Initial) or Maiden
Full Name while at City As School HS (leave blank if same)
Mr., Mrs., Dr., Capt., etc.
Jr., Ph.D., M.D., Esq., II, III, etc.
Would you like to join the CASAA planning committee?
Please tells us your affiliation with City-As-School High School
Parent or Relative
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
Check to indicate that you would like to provide support to the school and our current population in the following areas:
Mentoring and Tutoring
Guest Alumni Speakers; Speaker's Bureau
New Internship Placements
Scholarships and Awards
Financial Support for Ongoing Student Activities, Including Trips
Assistance with Computer Programming/web design/graphic design
Donation of Resources and Materials
PLEASE SHARE THIS FORM WITH OTHER ALUMNI!
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