Alumni Survey

Prefix

First Name*

Middle

Last name*

Nickname

Maiden Name

Hometown/High School*

Did you graduate from Bethany College?*

Yes
No

Years attended*

Class Year*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Home Phone

Cell Phone

Contact Preferences*

Mail
Email
Phone
Text

Employer name

Occupation

Business title

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Phone

Retired?*

Yes
No

Did you serve in the military?*

Yes
No

Branch

Dates of service

Marital status*

Married
Partner
Widowed
Single

Is your spouse an alumnus of Bethany College?

Yes
No

Is your partner an alumnus of Bethany College?

Yes
No

Was your spouse an alumnus of Bethany College?

Yes
No

Spouse/Partner full name

Spouse Maiden name

Nickname

Their class year

Children

Did you follow a family member to Bethany?*

Yes
No

What was the relationship?

Did a family member follow you to Bethany?*

Yes
No

What was the relationship?

Sports

Greek Affiliation

Honors

Clubs

Other notable activities

Volunteer Opportunities in which you may be interested

Alumni Association or Council
B.I.S.O.N - Bethanians in Support of New Students (Alumni Ambassador for Office of Admission)
Alumni-Student Networking Dinner
Career Services/Career Pathways - sign up for Alumni Fire
Guest Speaker
Class Agent
Regional Volunteer
Reunion/Homecoming Volunteer

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Alumni Survey 2023