Any information you can give about any one on this list would help tremendously in our efforts to contact all alumni about our up coming anniversary celebration. 

 

Alumni First Name:    
Alumni Last Name:        Alumni Middle Initial: 
Alumni Maiden Name: 
(if applicable)
Alumni Email address: 
Did the alumni's spouse attend/work at DISL?   
If so please provide their name: 
Alumni Street address:    
City:
State:            Zip:          Telephone:    

Alumni's Current Employer:    
Their position:    
Their Work address: 
Their Work city:   
Their Work State:       Work Zip:   
Work Telephone: 
 

Were he/she a student at DISL?  If so please complete the following. 
Year he/she Graduated:      
*choose 0000 if this does not apply to them.


Were he/she an employee of DISL? If so please complete the following.
he/she Start year:              he/she End year:        
*choose 0000 if this does not apply to them.

Would you like to share anything else about this individual that would help us contact them?
*Please limit to 244 characters.




 

 
 
 
 

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Last Date Updated: 02/07/08