Help us keep our database up to date.
Please, only fill this form if you were a member of the Class of '85,
even if you never graduated from EARJ.
To join the official EARJ Alumni Association database, PantherNet, please go here:
http://alumni.earj.com.br/cad_usu.asp
Due to circumstances beyond our control this online form was not functioning properly from 7/23/03 - 8/15/03. If you submitted this form between these dates, your information was lost. Please submit the form again.
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Please select one |
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First Name |
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Middle Name |
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Last Name |
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Maiden Name |
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Date of Birth (this will not appear on the site, it will be for our records only) |
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Place of Birth (this will not appear on the site, it will be for our records only) |
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Street Address (this will not appear on the site, it will be for our records only) |
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Street Address 2 (this will not appear on the site, it will be for our records only) |
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City |
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State |
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Country |
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Zip Code (this will not appear on the site, it will be for our records only) |
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Occupation |
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Company |
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Position |
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Home Telephone |
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Work Telephone |
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Fax |
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Email |
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Email 2 |
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WWW 1 |
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WWW 2 |
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Years at EARJ |
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When You Left EA |
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Most Memorable Experience at EA |
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What you did the summer after graduation.
Or:
What you did after leaving EA.
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What have you been up to these past few years? |
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Marital Status |
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Spouse |
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Children |
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College/University attended |
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Other Comments |
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Enter the code exactly as you see it in the image:
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