St. Mary's Catholic Parish

St. Mary's Catholic School

Alumni Registration Form

Please provide as much information as possible. For help with this form, email alumni@stmaryslgv.org

1. IDENTIFICATION:

Your Name:

Class of (graduating year):

Address:

City:

State:

Zip:

Telephone:

Email address:

2. MARITAL STATUS

Marital Status:

Married

Single

Widow/er

Divorced

Remarried

Maiden name:

3. SPOUSE INFORMATION

Spouse's Full Name:

4. ATTENDANCE AT SMS/OTHER ELEMENTARY SCHOOLS

Years of attendance at SMS:

From:

To:

Graduate?

Yes

If non-graduate, please list school attended through grade 8:

School:

From:

To:

School:

From:

To:

5. HIGH SCHOOL

School:

From:

To:

School:

From:

To:

6. COLLEGES AND UNIVERSITIES (Please include undergraduate/graduate/professional schools of study.)

College/University:

From:

To:

Major:

Year graduated:

Degree:

College/University:

From:

To:

Major:

Year graduated:

Degree:

7. ACADEMIC HONORS

Honor:		Institution:
Honor:		Institution:
Honor:		Institution:

8. CHILDREN

Name:		Birth Date:
Name:		Birth Date:
Name:		Birth Date:

9. RELATIVES (PLease list any relatives who attended SMS, with relationship and year of 8th grade.)

Name:

Relationship:

Year:

Name:

Relationship:

Year:

Name:

Relationship:

Year:

10. PRESENT OCCUPATION/PROFESSION

Position/Title:

Company/Firm:

Since (date):

Business Address:

City:

State:

Zip:

Telephone:

Email:

If retired, date of retirement:

Former Occupation/Profession:

11. HONORS - Please list/explain any memberships, honors, distinctions that have come to you since you left school
(public, business, civic, fraternal, published writings, scientific, military, religious, and other).

12. PRESENT PARISH/CHURCH

Name of Church:

City:

State:

13. CURRENT AREAS OF INTEREST

14. FRIENDS (Please list two friends who will always have your correct address)

Name:

Telephone:

Address:

City:

State:

Zip:

Name:

Telephone:

Address:

City:

State:

Zip:

15. PARENT INFORMATION:

Mother's Name:

Living

Deceased

Father's Name:

Living

Deceased

Address:

City:

State:

Zip:

Telephone:

Email address:

Any additional information or questions, use this space:

THANK YOU FOR YOUR INTEREST IN THE ST. MARY'S ALUMNI PROGRAM!

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