Alumni Registration Form

First Name

Last Name

Maiden Name

Street Address

City

State

Zip Code

Email

Phone Number

CCS Status ~ Click to chhose CCS Status ~ Click to chhoseI graduated from CCSI attended CCSI worked at CCSI am interested in CCS, but did not attend or work thereI am the parent of a previous student

What grades did you attend at CCS? What grades did you attend at CCS? K3 K4 K4 1 2 3 4 5 6 7 8 9 10 11 12 None. I worked at CCS. None. I am simply interested in CCS.

What is the year range during which you attended or worked at CCS?

What training have you received since leaving CCS? Click all that apply. What training have you received since leaving CCS? Click all that apply. College Graduate 4 Years College Graduate 2 Years Vocational/Technical Degree/Certification Some College Courses Military Directly to Work Masters Degree Specialist Degree Doctoral Degree Ordination Other

Tell us about your family.

Do you attend church? Which one?

What ministries are you active in?

Tell us about your career.

Tell us about your hobbies, activities, and achievements since leaving CCS.

If you would like to, please tell us your account name on Facebook.

Would you be interested in being contacted by email occasionally with upcoming events and news? Would you be interested in being contacted by email occasionally with upcoming events and news? Yes No

If there is enough interest in creating and alumni directory, which would apply to you? (Click all that apply). If there is enough interest in creating and alumni directory, which would apply to you? (Click all that apply). I would like to include my name. I would like to include my email address. I would like to include my Facebook page name. I would like to include my phone number I would like to include my address. I would like to have the opportunity to include a brief bio. I would not like to be in an alumni directory.