ATTENTION: NON GRADUATES
Parents and Friends, when filling out the form below, please put N/A in the year graduated field...thank you!
* indicates a required field
Your Name * :
Rindge Alum CGPS Alum Parent Other
Year Graduated * :
Format: XXXX or N/A
Preferred Email * :
Please send me periodic email updates:
Yes No
Do you plan on attending our next event:
Yes No
Maiden Name:
Current Address:
Cell Phone:
Home Phone:
Business Name and Address:
Current Position:
Current Business Phone:
Degrees:
Associate Degree Bachelors Degree MBA MS MPT M.Ed. DPT DA Certificate in
College attended:
College at Rindge | College of Graduate & Professional Studies | If CG&PS, location of Center: -Choose center- Concord Dover Goodyear, AZ Keene Lebanon Manchester Nashua Online Portsmouth Rindge Salem Ukraine
Degrees earned at other institutions:
Masters Doctorate
Academic Major:
Name of degree granting college/university:
Date degree received:
Spouse's Name:
Is your spouse an FP Alum?
Yes No
Spouse's Class Year
Are you a parent or sibling of a current or former FP student?
Yes No
If so, Name:
Relationship:
And Year:
Please tell us your news (career/service awards, marriages, births, career changes, promotions) or send comments to alumni relations.
YES! I want to take advantage of alumni discounts and benefits. Please send me an Alumni Opportunities Card
May we include the above-noted news in the “Class Notes” section of the Pierce Radius alumni magazine or Alumni Perspective , our quarterly online newsletter?
Yes No