Alumni Association|Updates|Events|Alumni of the Year

 

 

 Alumni

Please help us make sure our alumni records are up-to-date by taking a few moments to fill out the information on this form. Doing so will also ensure that you receive future alumni mailings from Alice Lloyd College. If you have current news you would like us to include in the Alumni News section of Pippa’s Song, please scroll to the bottom of this page and provide information you wish to share.

Your name:
(Last, First Middle)

Are you an Alice Lloyd College Graduate? Yes No

If yes, class year:

Alice Lloyd College Degree:

If no, what years did you attend:

Birthdate:

 (mm/dd/yyyy)

Home Address:


City                                          State         County                        Zip Code

Home Phone:

 (xxx-xxx-xxxx)

Company/Employer:

Position:

Business Address:


City                                        State           Zip Code

Retired? Y/N  Yes No

E-mail Address:

Did you receive a Caney Cottage Scholarship? Y/N  Yes No

If yes, dates of Scholarship:

Scholarship to?

Highest Degree Earned

Did you live in the Caney Cottage?   Yes No

Were you a member of the Voices of Appalachia?    Yes No

Is your spouse an ALC alum? Y/N   Yes No

Spouse Name (include maiden, if applicable):   

Spouse Degree/Class:

Please include any comments or information you would like us to know about for inclusion in the Alumni News section of Pippa’s Song.

Or Print form and Send all requested information to:

Alumni Office
Alice Lloyd College
Pippa Passes, KY 41844