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1).
Mr., Mrs., Ms., or Miss
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2).
First Name
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3).
Middle Name
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4).
Last Name
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5).
Preferred Given Name
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6).
Banner ID #
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7).
Degree
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8).
Major
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9).
Future Occupation
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10).
Dates I attended ACU
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11).
Class year I want to be associated with for my reunion
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12).
After graduation my mailing address will be: Street or Box
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13).
City
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14).
State
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15).
ZIP
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16).
Phone
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17). My address can always be obtained from: Name
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18). Relationship
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19). Street or Box
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20). City
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21). State
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22). ZIP
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23). Phone
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24). Are you married? (If yes, please complete the following information. If no, skip to #31)
| Yes
No
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25). Wife's Maiden Name (First, Middle, Last)
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26). Attended ACU?
| Yes
No
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27). Husband's Name (First, Middle, Last)
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28). Attended ACU?
| Yes
No
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29). Children's names and birth dates
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30). If you participated in athletics at ACU, please list the name of the sport
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31). If you participated in a Social Club at ACU, please list the name of the club
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32). If you participated in a Departmental Club at ACU, please list the name of the club
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33). If you participated in a Honor Club at ACU, please list the name of the club
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34). If you participated in a Service Club at ACU, please list the name of the club
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35). Please check any of the following you participated in at ACU
| Band
Orchestra
A Cappella
"W" Club
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36). Please list honors, awards, or other activities at ACU
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