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Name
Name when at CR (if different)
Street
City, State, Zip
Area of Study
CR Grad Date
Date of Birth
Email address (required)
Campus Activities
Yes No Did you go on to another college/university
Institution
Graduation Year
Degree(s) earned
Current Occupation
Company Name
Address
Did your spouse attend CR? Yes No
Spouse's Name
Graduation /Certificate Year
Comments
Questions about the Foundation should be directed to:
Ahn Fielding 605 K Street Eureka , CA 95501 Phone 707-269-4001 Fax 707-269-4020 Email: ahn-fielding@redwoods.edu