1. NAME OF PERSON COMPLETING THIS FORM
YOUR RELATIONSHIP TO THE GRADUATE:
*
SELECT TYPE Parent/Guardian Sister/Brother Aunt/Uncle Grandparent Spouse Teacher Friend
2. GRADUATE’S NAME
3. GRADUATING SCHOOL INFORMATION
FULL NAME OF HIGH SCHOOL, COLLEGE, MILITARY UNIT/BRANCH, ETC
*
CITY & STATE WHERE SCHOOL OR UNIT IS LOCATED
*
COMPLETED COURSE OF STUDY/MAJOR
*
TYPE OF DIPLOMA, DEGREE, OR RANK RECEIVED
*
NAME OF FUTURE SCHOOL/UNIT OR FURTHER EDUCATIONAL PLANS (OPTIONAL)
FUTURE DIPLOMA/DEGREE/CERTIFICATION/SERVICE DUTY/RANK TO BE PURSUED (OPTIONAL)
4. GRADUATE’S FAMILY LINEAGE INFORMATION
NAME OF PARENT(S)/GUARDIAN:
*
STREET ADDRESS
CITY
STATE
TELEPHONE NUMBER (INCLUDE AREA CODE)
Email
4B. BELOW ARE THE NAMES AND YEARS OF BIRTH OF THE 11 CHILDREN OF LEWIS CURTIS, PENNY & ADELINE ALBRIGHT, ALONG WITH THE LAST NAMES OF THEIR SPOUSES .
SELECT THE NAME OF THE CURTIS-ALBRIGHT DESCENDANT BELOW TO WHOM THE GRADUATE OR GRADUATE’S PARENT/GUARDIAN IS A DIRECT DESCENDANT OR RELATIVE OF:
4C. SPECIFY THE NAME OF THE CHILD OF THE ABOVE SELECTED TO WHOM THE GRADUATE IS CONNECTED.
4D. IF GRADUATE IS NOT A DIRECT DESCENDANT OF THE ABOVE, STATE HOW THE GRADUATE IS RELATED TO THE CURTIS-ALBRIGHT FAMILY.
Include honor societies, clubs, special recognition/achievements/awards, Greek societies, future aspirations, etc.
If you are human, leave this field blank.
