YA College Form – Deerfield Academy

Young Alumni Contact Update

"*" indicates required fields

Personal Information

Legal Name*

First Middle Last Suffix

Preferred Name

Class Year*

Email Information

Preferred Email Address*

Email Address*

Cell Phone*

Would you like to receive text messages from Deerfield Academy?*

Yes, I will accept text messages

No, Do Not Text Me

Address Information

Preferred Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

***Seasonal and Temporary mailing addresses become the preferred mailing address for the time period specified as the from and to dates.

Do you have a seasonal mailing address other than your college address?*

Seasonal Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Start Date*

(i.e. 11/01/2020)

End Date*

(i.e. 04/15/2021)

College Information

Will you be attending college this year?*

College Name*

College Email

Temporary College Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Start Date

(i.e. 08/15/2020)

End Date

(i.e. 05/15/2020)

Degree

Major

Anticipated Graduation Year*

Have you graduated from college?*

College Name*

Degree*

Major*

Year of College Graduation*

Work Information

Are you currently employed?*

Yes

Business Name

Business Email

Type of Business

(General description)

Title

Job Description

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are you interested in volunteering for Deerfield?*

Yes

Comments/Questions

Changes to your information should be mailed to Deerfield Academy, P.O. Box 306, Deerfield, MA 01342 or sent via email to alumnirecords@deerfield.edu.

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Young Alumni Contact Update

Personal Information

Email Information

Address Information

College Information

Work Information

Contact the Office of Advancement