Alumni Class Notes

Personal Information

Title

First Name*

Middle/Maiden Name

Last Name*

Suffix

Preferred Name*

Former Name

If different now, what was your last name when you were a student?

Date of Birth*

Class Year*

Greek Affiliation

Marital Status*

Spouse's Full Name*

Spouse's Class Year

If an Atlantic Christian or Barton College alumnus.

Greek Affiliation

Spouse's Date of Birth*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Home Phone

Mobile Phone

Employer

Work Phone

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Permission to Use Data*

I understand that by submitting this form I am granting Barton College permission to process my personal data and to contact me with information relevant to the services or opportunities offered, either directly or indirectly, through Barton College.