Summer 1989 - Lock Haven University

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ALUMNI SURVEY
If you have an advanced degree from another college or university, please list the name of the institution, area of study, degree and
year you received the degree.
Date of Birth
Institution Area of Study Degree Year
BIOGRAPHICAL INFORMATION
Marital Status __________
Spouse's Complete Name _____ _ ___ _ _____________ __________ ___ _____
Spouse's Occupation
Is your spouse a Lock Haven graduate? Yes ___ No ___ What Year? ____
Number of Children _ _____
Do any of your children now attend Lock Haven University? Yes _ _ _ No ___
Do you have children who have graduated from Lock Haven University? Yes ___ No ___
If so, please list each name, date of birth and year of graduation.
Name
Name
Date of Birth __1_ _ 1__ Graduation Year ______
Date of Birth __1__1__ Graduation Year _ _____
DEVELOPMENT AND VOLUNTEER INFORMATION
To what Lock Haven University programs are you most likely to contribute? Annual Fund ___ Scholarships ___
Library ___ Haven League ___ Artist and Lecture Series _ __ Other (Specify) ______________
Would you like to receive information on planned giving? Yes ___ No ___
Would you like to receive information on a bequest? Yes _ _ _ No ___
Would you be interested in becoming more involved with the Lock Haven University Alumni Association by helping in any of these ways:
___ as a member of the Alumni Executive Committee
_ __ in the student recruitment program
___ in planning Homecoming Weekend, Alumni Weekend or other alumni events
_ _ _ other (specify)
What is your approximate annual income?
PERSONAL INFORMATION
__ under $25,000 _ _ $25,000 - $49,000 _ _ $50,000 - $75,000 __ $75,000 - $99,000 _ _ over $100,000
Hobbies
Community Involvement, Activities
Business and Professional Affiliations _ ___ _________________________________
Please list those activities, including athletics, you were involved with at Lock Haven. _ __________ _______
Thank you for your cooperation. Please mail your completed alumni survey form to:
Office of Alumni and External Relations
120 Akeley Hall
LOCK Lock Haven University
HAVEN
UNIVERSITY
Lock Haven, PA 17745
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