Crispus Attucks Email List Profile

Last Name First Name: MI:

(required) Email Address:

Gender : Male Female Maiden Name

Year Graduated

Employed Retired Retired/Employed Stay Home DAD/MOM

Employer Name:
Job Title:
Number of Children:
Names and ages for children
Number of Grandchildren:
Names and ages of Grandchildren:

Spouse/Significant Other:

Name:

Other Interesting Information about Spouse/Significant Other:

Other Education:

Community College
College
Graduate School
Continuing Education (Photography, Dance, Acting, etc.)
Technical School

Address:

Telephone:

Questions

1. What would you like to see in the NewsLetter?

2. Web Sites to share with the list:

3. Would you want to see more photographs? Yes No

4. If you answered yes to question 3, can your email system handle large attachments? Yes No

5. Are you interested and helping plan Class reunions? Yes No

6. Have you visited the Crispus Attucks Museum? Yes No

7. Would you like an arranged tour of the Museum for the list? Yes No

8. Other Comments