Beck Collegiate "Roll Call"

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The "Roll Call" form requests Beck Alumni (Students & Staff of the former "Sir Adam Beck Collegiate" in London Ontario Canada) to identify, or update, their current "Contact Information".

All information is held in the strictest confidence and is only used for contacting you for "Beck related events" (Reunion, Singing Auditorium, etc.).

• Please input all applicable lines - especially a primary email address if possible (email is our normal mode of contact).
NOTE - we keep a separate record for “each” alumni. When 2 alumni (spouses, etc.) share the same address we record
it for both.

• For emails it is best if:
- Each alumni (of a couple) identifies their own email. Thus, if one fails for some reason the other email will still receive
the message.
- You use a personal email address as opposed to one where you are employed.
- If submitting information about another person then show your name in the "Submitted By" field.

First Name *

Surname (maiden name at Beck) *

Married Name (current last name) *

Spouse/Partner's First Name *

If Spouse attended Beck then their last name at Beck

Type (Student, Teacher or Both) *

Years attended (example 58-62) *

Year you would have or did graduate. (If you left school early what year did your class graduate) *

Street/Mailing Address *

City *

Province/State *

Postal/Zip Code *

Country *

eMail *

Home Phone Number *

How are you listed in the Telephone Directory (your name) *

Notes

Submitted By *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms