VISITATION SCHOOL ALUMNI ASSOCIATION
- CONTACT INFORMATION –
Please print and fill in as much of the information as possible.
Last Name
First Name
Maiden Name
Graduate ___ Student ___ Staff ___ Coach ___ Teacher ___ Principal ___ Nun ___ Priest ___
X appropriate box(es)
Home Address
Work Address
Email Address Home
Telephone #
Home #
Work
Cell Phone #
Work #
FAX #
FAX #
Other (Facebook)
Last Name
First Name
Maiden Name
Graduate ___ Student ___ Staff ___ Coach ___ Teacher ___ Principal ___ Nun ___ Priest ___
Home Address
Work Address
Email Address Home
Telephone #
Home #
Work
Cell Phone #
Work #
FAX #
FAX #
Other (Facebook)
Last Name
First Name
Maiden Name
Graduate ___ Student ___ Staff ___ Coach ___ Teacher ___ Principal ___ Nun ___ Priest ___
Home Address
Work Address
Email Address Home
Telephone #
Home #
Work
Cell Phone #
Work #
FAX #
Other (Facebook)
Questions, Contact vsalum@visitationschool.org
or Anna Cody, Alumni Association Coordinator at amscody@aol.com.
FAX #
VISITATION SCHOOL ALUMNI ASSOCIATION
Questionnaire
Name
____________________________
Maiden Name ___________________________
Address ___________________________________ Email ___________________________
Telephone & Cell phone numbers T
___________________ C _______________________
Occupation _________________________ Marital Status ____________________________
Please attach a recent photograph of yourself, which we can post to our Alumni page (with your permission)
Children (?):
Y _____ N _____
Names and Ages_____________________________________________
Grandchildren (?):
Y _____ N_____
Names and ages ______________________________________________
Did you graduate from Visitation? Year ____________
If you did not graduate from Visitation, what grades and years did you attend Visitation?
___________________________________________________________________________
What High School(s) did you attend? ______________________ Year graduated __________
Did you have any secondary education? Yes _____
Type
Where
No ______ If yes:
Major
Dates
Attended
Degree
Earned
Trade
School
Junior
College
College/
University
Grad
School
Other
Did you serve in the armed forces? Branch ________________ Dates served _______________
Have you stayed in contact with any of your classmates/schoolmates from Visitation? If so, please forward a
copy of this information to them, or send us their information (addresses/email addresses/telephone numbers,
etc.) by completing the attached Contact Information form and we will contact them regarding the Visitation
School Alumni Association. Do you know of any fellow Visitation graduates, classmates, teachers, principals
or school staff members who have passed away? If you do, kindly send us their name (including maiden
name, if applicable), the year of graduation, the year and date of their passing, and a bio so we can remember
them on the Visitation website and also honor them at future reunions.
Questions, contact vsalum@visitationschool.org
or Anna Cody, Alumni Association Coordinator, at amscody@aol.com.
Additional comments and info. you’d like to share? ___________________________________________
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