Town Centre Private High School

Below is a personal information survey. This information will be used to help maintain contact with the Alumni as well as provide a list that will allow you to keep in touch with your former classmates.

If you have any interesting news or updates about yourself, please feel free to call us or visit us at anytime.   The school is very interested in finding out how graduates are doing at the University level and at the professional work place.  Your co-operation is requested to complete and submit the following information.

First Name at Graduation: *
Last Name at Graduation: *
Other Name?:
Year of Graduation:	example: 1998
Address 1:
Address 2:
Town/City:
Postal Code/ZIP:	example: 1A1 A1A
Phone Number:	example: XXX-XXX-XXXX
E-mail Address: *
University Attending:
University Program:
University Graduation Date:	example: 2012
Yes, I want my Name and e-mail to be displayed: *	Yes No
Comments about your University experience thus far:
	Please type in the characters you see above into the field below before submitting the form.