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Last Name *

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Birth Date

Street Address

City

State

Zip Code *

Country

Email *

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Add to Online Directory?

Yes

Please add my name and e-mail address to the Online Alumni Directory and send logon information to my e-mail address. Only your name and email address will be listed.

Attendance at Lincoln College

Date From

Date To

Date From

Date To

Class year I prefer to be associated with:

Degrees Received (Other than at Lincoln)

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Major

Degree

School 2

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Major

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Employment Information

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Fax

Work Web Site

Submit this employment information as a class note for The Log newsletter?

Yes, please submit

Family Information

Marital Status

Spouse's Name

Maiden Name

Date of Marriage

Spouse's Undergraduate School

Did your spouse attend Lincoln College?

Yes

Spouse's Graduation Year

Spouse's Employer

Spouse's Title

Employer's Street Address

Spouse's Work Phone

Spouse's Email

Children's names, birth dates, and high school graduation year (If any of your children attended Lincoln College, please note the dates attended):

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Alumni Directory Registration

Attendance at Lincoln College

Degrees Received (Other than at Lincoln)

Employment Information

Family Information