Submit Alumni Contact Information Here!

Please complete the form below. Required fields marked with an asterisk *

Name:*

Answer required for "Name:"

Name as a student at Northern Light School:

Answer required for "Name as a student at Northern Light School:"

Current Mailing Address:*

Answer required for "Current Mailing Address:"

Permanent Mailing Address (if different from above):

Answer required for "Permanent Mailing Address (if different from above):"

Cell Phone Number:*

Answer required for "Cell Phone Number:"

Email Address #1:*

Answer required for "Email Address #1:"

Email Address #2:

Answer required for "Email Address #2:"

High School graduated from:*

Answer required for "High School graduated from:"

Did you attend:

Answer required for "Did you attend:"

College

University

Community College

Vocational/Technical School or Other Program

Other:

If you attended any of the above, please provide the name of the institution:

Answer required for "If you attended any of the above, please provide the name of the institution:"

What type of degree did you earn?

Answer required for "What type of degree did you earn?"

What extracurricular activities did/do you participate in?

Answer required for "What extracurricular activities did/do you participate in?"

Graduate School Attended:

Answer required for "Graduate School Attended:"

Major/Concentration:

Answer required for "Major/Concentration:"

What type of degree did you earn?

Answer required for "What type of degree did you earn?"

Master's Degree (e.g. MS, MA, MBA)

Doctorate (e.g. PhD, DSc, EdD, etc.)

Vocational Certificate

Other Professional Degree (e.g. JD, LLB, MD, DDS, DVM, etc.)

Are you a veteran? When did you serve?

Answer required for "Are you a veteran? When did you serve?"

Current Status:

Answer required for "Current Status:"

Student

Employed Full-Time

Employed Part-Time

Looking For Work

Looking After Children/Family

Current Job (Title, Company, Location):

Answer required for "Current Job (Title, Company, Location):"

Quote or overriding memory of Northern Light School:

Answer required for "Quote or overriding memory of Northern Light School:"

I grant permission for Northern Light School to use my feedback in marketing materials, including but not limited to publications, public relations, promotions, publicity, and advertising.*

Answer required for " I grant permission for Northern Light School to use my feedback in marketing materials, including but not limited to publications, public relations, promotions, publicity, and advertising."

Yes

Alumni support is greatly appreciated. Can you help in any of the following ways?*

Answer required for "Alumni support is greatly appreciated. Can you help in any of the following ways?"

Mentor a current student

Mentor a high school or college student

Provide work placement

Give talk or performance

Organize a reunion

Contribute your story to the school's archives

Make a gift to support NLS

Volunteer for an event

Other:

Anything else you would like to share with us?

Answer required for "Anything else you would like to share with us?"

Thank you for your time in completing this form!

Please fix the highlighted areas below before submitting.

Submit Alumni Contact Information Here!