First Name:      
Last Name:   
Maiden Name:   
Date of Birth:   
Email Address:   
Attendance (Years)                      
Degree(s) Earned: 

(You may choose more than
one: ctrl + click)
 		    
Other Degree:   
Year 1st Degree:   
Year 2nd Degree:   
Year 3rd Degree:   
Year 4th Degree:   
   
Spouse Name:   
 

 
Is your spouse an Alumni of SCS?     Yes:  No:  
 
Current Address:    
City:        
State:    
Zip Code:    
Cell Phone:    
Alternate Phone:       
   
If this is an address change, please note your former address here:
Former Address:  
Former City:  
Former State & ZIP:    
Former Phone:  
   
Current Ministry: 
 
 
Current Employment:
   
Short Bio:
 
In the event that we make Alumni information available to others, may we publish your information? 
 
   No, do not publish   Yes, publish.