Wayland Baptist University  
   


FOR THE CLASS OF SECTION
ASSOCIATION OF FORMER STUDENTS INFORMATION

   
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* Denotes required fields  
   
*Date: (mmddyy)  
   
*Title:  
   
* Last Name: *First Name:
   
Maiden Name: SSN#
   
Birthdate: Gender:
   
*Campus Attended: *Major:
   
Minor: *Degree:
   
*Year of Graduation:  
   
*Mailing Address: * City:
   
* State: * Zip code:
   
   
Telephone Number: ( ) Business Phone: ( )
   
* Email Address:
   
*Occupation and Title:
   
Employer:
   
* Employer address: (include city and state)
   
Spouse's name: *Is your spouse a WBU Alumni? (plese choose no if you are not married.)
   
Spouse's occupation: Graduation year of spouse:
   
Spouse's employer:  
   
Names and Birth dates of Children:
   
Name and Address of someone who will always know YOUR address:
   
CHURCH AND CIVIC ACTIVITIES:  
   
Church I currently attend:
 
Church Location:
 
Church Activities:
 
Civic and/or Professional Activities and Organizations:
 
Wayland Organizations:
 
 
 
Honors received while at Wayland and those received since graduation:
 
Graduate Schools Attended and Degrees Earned:
 
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