Social Work Department Alumni Update Form

Full Name*

Full Maiden Name

Graduation Year*

E-mail Address*

Street Address

City

State/Province

Postal Code

Country

Home Phone Number

Cell Phone Number

Are you married?

Yes

If yes, spouse's full name

Is your spouse a Bethel alum?

Yes

If yes, what is your spouse's college graduation year?

Do you have any children?

Yes

Please list names and birhtdates.

Employer Name

Job Title

Employer Address: City/State/Zip

Employer Phone

Job Description

What news would you like to share.

Permission to post this information on the Bethel Social Work Program Alumni webpage

Yes

Sandra Traudt, MSW/LICSW

Julia Moen, MSW/LISW

Amy White, MSW/LICSW

Kelly Brown, Administrative Assistant