Alumni Form
Years attended Pleasant Ridge:
 

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Please enter the information indicated below.

First Name:
Middle Name:
Last Name:
Company Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

College/University Name:
 

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Year of Graduation:
 

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Degree:
 

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Certifcations:
 

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Do you want to receive Pleasant Ridge Newsletters?
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No
Are you interested in Volunteering?
Yes
No
If yes, please identify the area(s) you are interested in volunteering (please check all that apply):
Website
Newsletter
Database Management
Reunions and Special Events
Student Activities
Historian
Library Help
Grounds and Facilities Improvement
Public Relations
Mentoring
Fundraising
Volunteer Coordinator Assistant
Special Skills Volunteer
Tutoring
Community Outreach
Other