Name:

Address:

City:

State:

Phone #:

E-Mail: 

H.M.S. Graduation Year:

Please list the Colleges/Universities you attended and what degree/degrees you received and what year.  Please type N/A in any boxes that you don't fill.

School #1:

Degree:

Year degree received:

School#2:

Degree:

Year degree received:

Who is your Class Agent? (Are you the Class Agent for your class?  If so please type "ME" in the box.)

How often does your Class Agent contact you?  (If you're the Class Agent, how often do you contact your classmates?)

How do you prefer to be contacted by your class agent?  E-mail, Telephone, or Mail?

How often would you like to be contacted by your class agent?

  Two times a year

  Three times a year

  Four times a year

Would you be interested in serving as a Class Agent?

What do you like about Alumni Weekend?

What would you like to see added to the Alumni Weekend schedule?

How can we make Alumni Weekend a more enjoyable experience for you and your family?

Do you usually attend Alumni Weekend?  Why or why not?

Do you have any concerns or issues regarding either Alumni Weekend or the Class Agent Program that need to be addressed?  If so please add comments.