CLASSMATE
SURVEY
We need updated information
from you to bring our records current.
This information will be used
to update our Classmate Database as well as update your member profile on our
online Andrew Jackson Class Of 1965 Website. It will not be
sold or offered to any outside source.
Please answer the following
questions and return to me by one of the as either an email/attachment or via
If there are
NO CHANGES from what appears on the
website, just respond only to this question and question #1 of the survey:
[ ] There are NO CHANGES to any of my information on
the Andrew Jackson Class of 1965 Website.
If there ARE SOME
CHANGES, then check the box here and
answer only the questions that need to be updated.
[ ] There ARE CHANGES to some of my information on
the Andrew Jackson Class of 1965 Website. I have answered those questions
below.
A.)
Email your answers to: usrutledge@comcast.net
or aj65tigers@myfamily.com
B.)
Send your responses by
John D.
Unit 1
INSTRUCTIONS:
If you don't know how to fill
out this page by copying and pasting your
answers into a new e-mail or by just pressing reply in
your e-mail program, then CREATE A NEW E-
Please place a check mark (or
a YES/NO) if any of these apply to you:
THIS SURVEY WAS COMPLETED BY:
a.
First Name:
b.
Middle Name:
c.
Last Name (Maiden):
d.
Married Name (Women only, guys):
#1
[ ] I no longer wish to be a member of
the
#2
[ ] I want to become/remain a member if
the
#3
[ ] I want to remain a member if the
#4 What is your date and place of birth?
Date: Month: Date: Year: 19
City: State:
#5 What is your CURRENT address? Be sure to include:
Street Address / Apt# :
City State: Zip Code:
Home Phone:( ) Work Phone:( )
Cell Phone:( ) Fax: ( )
#6 During what years did you attend
[
] 1962 - 1965 196____
through 196____
#7 What was your address in
Street Address / Apt# :
City:
#8
[ ] Did you
graduate/teach from/at
School in 1965?
If not, from what High School, what
year and in
what City did you graduate/teach?
Name of High School:
City State Year: 19_____
#9 PROFESSION
a. [
] I joined the workforce and went to work for:
Business Name
Employment Dates
Location: City: State:
Position:
b. [
] I attended College after graduation
College Name
Years Attended
Location: City: State:
Degree Attained: In What Area?:
c. [
] I joined the a branch of the military
Branch of Military Service:
Years of Service: From 19____ To: ______
Enter Rank: Leave Rank
Location During
Enlistment:
City:
State:
Country:
d. [
] I am PRESENTLY
Business Name
Employment Dates
Location: City: State:
Position:
Name and Location of Business or
Branch of Service:
Branch of Military Service:
Years of Service: From 19____ To: ______
Enter Rank: Leave Rank
Location During
Enlistment:
City:
State:
Country:
e. [
] Are you crazy? I am RETIRED from:
Business Name
Employment Dates
Location: City: State:
Position:
Name and Location of Business or
Branch of Service:
Branch of Military Service:
Years of Service: From 19____ To: ______
Enter Rank: Leave Rank
Location During
Enlistment:
City:
State:
Country:
#10
What is/are your e-mail address(es)?
Primary Email:
Secondary Email:
#11
[ ] YES, I'll take some time and do
some digging through my
OLD STUFF, I have the following
Memorabilia from the
40's - 60's that I would like to share with my Classmates:
(Examples are: PHOTOS/SLIDES/NEGATIVES of:
myself, classmates, teachers, sports,
band, places (Elementary Schools, Junior High
Schools, High School, lakes, restaurants, hang-outs, buildings, beaches), activities (gym dances,
"Youth Center" dances, track
meets, football games . Old copies of school newspapers such as the "Tiger's Claw" and "The
Clarion", old copies of football game programs, programs from school
events such as: Dramatic Plays, Concerts, Folk Singing Contests, old
Jacksonville Journal or Florida Times-Union newspaper articles concerning:
Andrew Jackson students and activities, events of the day (JFK Assassination,
Current Movies, Ads for merchandise and low prices, etc. Use your
imagination.......
DESCRIPTION OF MEMORABILIA THAT
I AM WILLING TO SHARE.
NOTE:
All memorabilia can be scanned and uploaded to the web site/You can either do
this yourself (I can provide instructions)or you can
send the memorabilia to me and I will do it for you. All memorabilia you submit
will be returned to you unless you indicate otherwise.
#12 What is the name of your spouse (or EX-spouse, if not
remarried)?
#13
[ ] Is you
Spouse also an
What year did your spouse graduate?
19____
#14 What is the Date of Birth of your spouse? (Month/Day/Year)
#15 What is your marriage date and place (City/State)?
CHILDREN:
Please
use this format for the names of your children:
First
Name / Middle
Name / SURNAME / Married Name
#16 What is the Name and Date of Birth of your FIRST child?
(Month/Day/Year)
#17 What is the Name and Date of Birth of your SECOND child?
(Month/Day/Year)
#18 What is the Name and Date of Birth of your THIRD child?
(Month/Day/Year)
#19 What is the Name and Date of Birth of your FOURTH child?
(Month/Day/Year)
GRANDCHILDREN
Please
use this format for the names of your grandchildren:
First
Name / Middle
Name / SURNAME / Married Name
#20 What is the Name and Date of Birth of your FIRST grandchild?
(Month/Day/Year)
#21 What is the Name and Date of Birth of your SECOND
grandchild?
(Month/Day/Year)
#22 What is the Name and Date of Birth of your THIRD grandchild?
(Month/Day/Year)
#23 Please invite the following Classmate(s) to join our site.
His/Her name during high school was:
His/Her mailing address is:
His/Her e-mail address is:
His/Her phone number is: ( )
His/Her name during high school was:
His/Her mailing address is:
His/Her e-mail address is:
His/Her phone number is: ( )
THANK YOU FOR TAKING THE TIME
TO COMPLETE OUR
Unit
1
Email: