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Right-click and drag over the large box to highlight it, then click your printer icon to make a mailable copy of this questionnaire |
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CURRENT STATUS SHEET Today's Date: _____________________ Your Last Name When You Graduated: _________________________________ Your First Name: ________________________________________________ Your Current Last Name (if different from above): _________________________ Your Spouse's or Partner's Current Name: _______________________________ Your Current City, State and Zip: _____________________________________ * Your Current Street and Number: ____________________________________ * Your Current Phone Number: _______________________________________
* Your Current E-mail
Address:_______________________________________ Number of Children: ______ Number of Grandchildren: ______ Number of Great-Grandchildren: ______ What Grade Level, Years in School or Degrees Did You Attain: ________________ ____________________________________________________________ In What Careers Were You Involved: _________________________________ ____________________________________________________________ In What Businesses Did You Participate: _______________________________ ____________________________________________________________ In What Cities, States or Countries have you lived: ________________________ ____________________________________________________________ What Leisure-time Activities Have You Enjoyed: _________________________ ____________________________________________________________ ____________________________________________________________ To What Parts Of The World Have You Traveled: ________________________ ___________________________________________________________ Anything else you would like to add: _________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________
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