Alligator Alumni Association PO Box 14249, Gainesville, FL 32604-2249

alligator alumni association PO Box 14249, Gainesville, FL 32604-2249 Your former colleagues, and we, are interested in you, what you are doing, where you have been and what you have done. Please be assured that any information you opt out of will be held in strictest confidence. Please note that information is asked of you on the back of this form also. If you need additional room, please feel free to attach a resume or c.v. (Please print or feel free to file electronically) to [email protected]. Thank you. Date of completing the form (00/00/00)______Mr. ___ Ms. ___ Mrs. ___ Miss ___ Dr. ___

Name: (last) (first)______

(middle or maiden)______(preferred first name)______Occupation & Name of Business

Business Title Entity Nature of the Business______Business Mailing Address______

Business Email Phone – Voice ( ) Fax ( ) Address Business Personal Web site Web site______or Blog______Home Mailing Address______

(city)______(state or region)______(zip+)______(country)______

Home Home Personal Phone – Voice__(_____)______Fax__(_____)______Email______

Preferred Mailing Preferred Phone Preferred Email Address Business___ Home___Both___ Contact Business___Home___Both___ Contact Business___Home___Both___

Birth Raised Birth Date (year is optional) Location ______In ______M/D/Y ______

Education Name of School City, State, Country Inclusive Dates Degrees Earned Secondary ______

College(s) ______

______Inclusive Dates and Positions Held at The Alligator ______

______Subsequent Career(s) Positions, firms, etc. ______

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______Military Service Branch, Inclusive Dates; Highest Rank ______Personal History Marriage(s), births, adoptions, etc.______

______Current Marital Domestic (Name of Spouse or Status Single ____ Married ____ Partnership ____ Partner) ______Divorced __ Widowed__ Professional & Civic Activities (Please Note Dates & Offices Held)______

______continued on back Professional & Civic Activities Continued ______

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______Board Directorships (Corporate & Philantropic______

______Awards & Honors______

______Other Interests, Hobbies or Activities ______

______Name of current spouse and/or other relations (father, mother, grandfather, daughter; son, etc.) who also worked at The Alligator, giving name and relationship: ______

______Names & contact information of Alligator Alumni with whom you are in touch or know where they are:

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______Names of Alligator Alumni You Would Like to Contact

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______We would greatly appreciate it if you would write an endorsement about your Alligator experience – how it may have benefited you. The Alligator uses such endorsements in advertisements and other printed pieces to recruit and to enhance our image. ______

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Other remarks or any continuation from the front

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As any of your information changes, please notify us so we may update your biography. Thank you for all your help!