Alum Update Form

You may also print this form and mail it to:

Berkeley School of Theology
2606 Dwight Way
Berkeley, CA 94704 USA

First Name

Last Name

Home Phone

Other Phone

Street Address

City

State

Zip Code

Is This A New Address?

Yes No

Name Used at School if Different From Above

Ordination Date

Birthday

Spouse's name

Children's Names and Ages

Current Position

Date Current Position Began

Retired?

Yes No

Previous Positions

News / Comments