Alumni Data Input

Dear Friends: The information we collect here will be kept confidential. The purpose of this data collection is to share this information with all our CEG62 Alumni in preparation for our next Reunion.

Please identify yourself:

Full name as in College

Nickname if any            

Please provide the following contact information:

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone	Mobile
E-mail

Do you still work?

Yes
No

If the answer is Yes, please provide the following information:

Title
Organization
Work Phone
E-mail

If retired , please provide the following about your last job:

Last Title
Organization

Marital Status

Single - Never Married
Single - Divorced
Married
Widowed
No Answer

If Married, Please provide the information about your spouse

Name

Here is my family information:

   Number of Children   

            Number of Grand Children   

Tell us more about your Children and Grand Children: (limit to 300 words)

Would you like to attend our Grand 45th year Reunion in  early 2007?

Yes No

If Yes, would you like to attend the Reunion with your spouse?

Yes No

Give us your preference on time, place and duration for the Reunion:

            Time                Place                            Duration  

       Jan2007        Chennai                    One Day-no overnight

       Feb 2007      Resort outside        overnight OK

           No preference , will go with majority

Can you give your fellow Alumni a brief synopsis of your life and career since you left CEG ( limit to 1000 words max):