ALUMNI CONTACT INFORMATION FORM CAUTION: Hitting the Return/Enter key will submit the form - Use TAB or your mouse to move between fields.
	Graduation Class Year (4-digit)
	First Name	Middle Name / Initial	Last Name
	Also known as / Nickname		Last Name at Graduation (if different)
	Address (Street number and name; PO Box ; Apartment/Lot Number; etc.
	City		State Zip Code
	If non-US Address:
	Country		Mail Code
	E-Mail Address:
	Preferred
	Alternate (if applicable)
	Phone Number:
	Preferred (xxx-xxx-xxxx)	Extension	Home Work Mobile
	Alternate (xxx-xxx-xxxx)	Extension	Home Work Mobile
	Is your spouse a DHS Grad?
	First Name	Last Name / Maiden Name	Graduation Class Year (4-digit)

	This information entered by:
	Self	Please provide name if other than person named above:
	Spouse
	Parent
	Sibling
	Other
	Sharing Information:
	Yes No	OK to share contact information with graduate's class for reunion planning.
	Yes No	OK to share contact information with graduate's class members who inquire.
	Yes No	OK to share contact information with other DHS Alumni who inquire.
		Please type the word to the right in the text box.