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Alumni Registration
Alumni Registration
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Title
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Mr.
Mrs.
Ms.
Dr.
*
First Name
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Last Name
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Street Address
Street Address Line 2
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City
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State
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Home Phone
Alternate Phone
E-mail Address
Last Year Attended DKJA
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1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
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Number of Years Attended DKJA
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1
2
3
4
5
6
7
8
9
10
11
12
13
DKJA Grad (check highest level applicable)
8th Grade Grad
High School Grad
*
High School(s) (if other than DKJA)
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College (s) or Universities
Highest Degree Earned
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High School Degree
Associates Degree
BA/BS Equivalent
Master's Degree
Law Degree
MD
Other Graduate or Professional Degree
Occupation
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Student
Physician/Dentist
Other Health Care Provider
Lawyer
Finance/Accounting
Real Estate
Communications
Teacher, Other Education
Professor, Higher Education
Business Owner
Information Technology
Social Worker
Rabbi/Jewish Educator
Jewish Communal Service Professional
Other
What is your marital status?
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Never Married
Married/Partnered
Divorced or separated
If married, what is your spouse’s name?
Indicate your child(rens) name and age(s)
Would you be interested in attending a DKJA Alumni Event?
If so, what time of year would be good for you?
What kind of events would you be interested in attending?
"Quotable Quotes" We invite you to comment on your DKJA experience and how it influenced you.