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SURVEY 2007

To complete the online questionnaire, you will need your Concordia ID number. This number is included on the paper version of the questionnaire. To obtain your ID number, refer to the printed version of the questionnaire you received by mail or call LISSA MEYER, Records Coordinator, at 800-699-9896. 

* Required field

Record Information Changes
Concordia ID*:
Last Name*:
First Name*:
Birth/Maiden Name:
Preferred Title:
Personal: Male       Female     Date of Birth: 

Married   Date: Single Divorced Widowed
Address:
City/State/Zip:
Home Email Address:
Foreign Country:
Telephone Number:
Do you or one of your immediate family members have Thrivent Financial for Lutherans: Y   N
Alternate Address:
From Date to Date:
Your Time at Concordia
Class Year* Year:     

If December Graduate, Preferred Class Year: 

Majors:
Minors:
Activities:
Your Continued Education
Institution:
Year, Degree, Field:
Institution
Year, Degree, Field:
Institution
Year, Degree, Field:
Your Spouse
Spouse's Last Name:
First, Middle:
Birth/Maiden Name:
Preferred Title:
Birth Date:
Is your spouse an alumnus?

Your spouse's ID is:

 Y   N

ID: 

Your Children Child's last name is shown only if it is different from the parent
Child's Last Name:
First Name, MI: First: MI:
Personal: High School Class Year   Date of Birth  Death Date 
Concordia Information Class Year ID Male  Female
Child's Last Name:
First Name, MI: First: MI:
Personal: High School Class Year   Date of Birth 
Death Date 
Concordia Information Class Year ID Male  Female
Child's Last Name:
First Name, MI: First: MI:
Personal: High School Class Year   Date of Birth  Death Date 
Concordia Information Class Year ID Male  Female
Child's Last Name:
First Name, MI: First: MI:
Personal: High School Class Year   Date of Birth  Death Date 
Concordia Information Class Year ID Male  Female
Child's Last Name:
First Name, MI: First: MI:
Personal: High School Class Year   Date of Birth  Death Date 
Concordia Information Class Year ID Male  Female
Child's Last Name:
First Name, MI: First: MI:
Personal: High School Class Year   Date of Birth  Death Date 
Concordia Information Class Year ID Male  Female
Child's Last Name:
First Name, MI: First: MI:
Personal: High School Class Year   Date of Birth  Death Date 
Concordia Information Class Year ID Male  Female
Child's Last Name:
First Name, MI: First: MI:
Personal: High School Class Year   Date of Birth  Death Date 
Concordia Information Class Year ID Male  Female
Your Work
Position:
Business Name:
Division:
Street Address:
City, State, Zip:
Country:
Telephone Number/Extension:
Fax Number:
Work E-Mail Address:
Additional: Are you retired?  Y   N  Is your company a matching gift company?  Y   N
Additional Work Position:
Business Name:
Division:
Street Address:
City, State, Zip:
Country:
Telephone Number/Extension:
Fax Number:
Work E-Mail Address:
Additional: Are you retired?  Y   N  Is your company a matching gift company?  Y   N
Spouse's Work
Spouse's Position
Business Name
Division
Street Address
City, State, Zip   
Country
Telephone
Number/Extension
Fax Number
Work, E-mail  Address
Additional Are you retired?  Y   N  Is your company a matching gift company?  Y   N
Spouse's Additional Position
Business Name
Division
Street Address
City, State, Zip   
Country
Telephone
Number/Extension
Fax Number
Work, E-mail  Address
Additional Are you retired?  Y   N  Is your company a matching gift company?  Y   N
Community Activities 
Civic  involvement in community activities

 

Board Memberships

 

Service Organizations

 

Other Interests

 


Church Information
Congregation Name
City, State, Zip
Denomination/Religion
Concordia Language Village Information
Were you ever a villager at Concordia Language Villages? Y   N
Were you ever a staff member at Concordia Language Villages? Y   N
Were any of your children ever villagers at CLV? 

If so, which children:

 Y   N

 
Were any of your children ever staff members at CLV?

 

If so, which children:

 Y   N

 

 
Additional Information
Family Income   0-14,999         20,000-34,999   50,000-74,999   100,000-and above

 

15,000-19,999  35,000-49,999   75,000-99,999 
Are you interested in volunteering your services to Concordia or the Alumni Association?   Y   N 
Should we ever need to trace your address, our best source of information comes from your relatives and friends, please list a source we may use.

Generations Information
To help us maintain our Alumni relationships, please tell us if any of your family members have ever attended Concordia College:
Name Class Year Relationship to you