Alumni (or student) ID number, if known
Name
Title (Dr, Mrs, etc)
Suffix (Jr, Sr, etc)
Name while attending Calvin
Mo/Yr Began Calvin
Mo/Yr Left Calvin
Number of Years Attended
Preferred Reunion Year
You may choose a reunion year
that is different from the year you left Calvin.
Current Address
Seasonal Address
Dates seasonal address is active
Home Phone (with area code)
Preferred E-mail Address*
*This is the only required field
for the form. If you don't have an email please use alumni@calvin.edu
Date of Birth
Race/Ethnicity
Church Denomination
Church Name
Degrees from Calvin College
and/or Seminary
Degrees from institutions other
than Calvin College or Seminary
Employment Status
Employed full-time
Unemployed, looking for work
Full-time homemaker
Employed part-time
Full-time Student
Permanently unemployed/disabled
Retired
Self-employed
Employing Firm's Name and Address
(local address rather than national headquarters)
Business Phone (with area code)
Business Fax # (with area code)
Position with firm (job title)
Number of full-time employees
at firm
Company's Status Non-profit
For profit
Does Company have a Matching
Gifts Program? Yes
No
Do you hire or influence hiring? Yes
No
If called upon by Calvin College,
I would agree to work in the following ways:
List activities you participated
in while at Calvin College (e.g. Chimes , sports teams,
music groups, etc.)
Your approximate annual household
income
Under $20000
$20,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $249,000
$250,000 to $499,999
$500,000 or more
Marital Status
Spouse's complete name
Did spouse attend Calvin?
yes
no
If so, Year left Calvin
Spouse's place of employment
Spouse's job title
If you have children, please
list (even if they are grown):
List one person, who does not
live with you, who will always know your address:
Name
Street
Phone (with area
code)
City
State/Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Canada
International
Zip/Postal
Relationship to
you
Planned Gifts to Calvin
Calvin is included in my/our wills.
Please send information about how to include
Calvin in my/our will or estate plan.
Please share any recent news
you would like us to know about (e.g. church, community activities,
family, occupational changes, achievements, messages to Calvin
or other alumni)
If space is available, may we
print this in the Spark?
yes
Thank you for taking the time
to fill all this out. Just click on the submit button and
your survey will be done.