Brewster Alumni Questionnaire

1.	First and Last Name (If married, please include maiden name.)*

2.	Email Address? *

3.	What year did you graduate from Brewster High School?*

	Current Status (Please complete the questions that pertain to your current status - attending college, in the military, or working full-time.)

4.	Are you attending college?
	Yes    No

5.	Where are you attending college?

6.	What is your major?

7.	Are you in the military?
	Yes    No

8.	In what branch of the military do you serve? What is your rank?

9.	Do you work full-time?
	Yes    No

10.	What is your occupation/profession?

11.	If you have an online business profile you would like to share, please provide the URL address here.

	ACHIEVEMENTS AND ADDITIONAL INFORMATION

12.	Please list any awards or achievements you have received since graduating from Brewster High School.

13.	Enter any additional information you would like to share.

	PHOTO

	Please provide us with a current photo of yourself. (Please do not include other people in your photo). Photos should be emailed to bcsdwebmaster@brewsterschools.org.

14.	I give the Brewster Central School District permission to publish to its website the information and photo I provide in this questionnaire.
	Yes    No