Alumni Contact Information Update

Please update your contact information so we can better engage and unite our alumni community.

Required fields marked with an asterisk *

Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Maiden Name

Answer Required

Primary Phone Number*

Please indicate whether this is a home phone number (H) or cell phone number (C)

Number Required

Primary Email Address*

Answer Required

Confirm Email*

Answer Required

Please include any other personal updates you would like to share.

Answer Required

Mailing Address

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Education

CP Graduation Year*

Answer Required

High School Attended and Graduation Year*

Answer Required

College Attended*

You may write in N/A if not applicable.

Answer Required

Graduation Year*

You may write in N/A if not applicable.

Answer Required

Degree Received*

Answer Required

Associate

Bachelor's

Master's

Doctoral

In progress

Major(s) / Minor(s)*

Answer Required

If you attended multiple colleges, please include all necessary information below:

College attended, graduation year, degree received, major/minor

Answer Required

Employment

Current Place of Employment

Answer Required

Job Title

Answer Required

Getting Involved

I would like to receive more information on the following opportunities:

Please check all that apply.

Answer Required

Mentoring a current student with high school prep

Mentoring a recent grad through high school and/or college

Serving on the Alumni Relations Committee

Making a donation of my time or money

Networking with other alumni

Would you like to receive quarterly newsletters from Community Prep?*

These will be sent to the email you provided.

Answer Required

Yes

Privacy

Do we have permission to publish your contact information on our Alumni Directory?*

We are in the process of creating an alumni directory that will allow our alumni to reconnect and network.

Answer Required

Yes

If you selected no, is there any information we have permission to include in our Alumni Directory?

Answer Required

Phone number

Email address

Home address

I do not want to be listed in the Alumni Directory.

Please fix the highlighted areas below before submitting.

Alumni Contact Information Update