Rawlins County High School Alumni Information Form
We appreciate you taking the time to submit your information for Rawlins County Alumni Association and Rawlins County Economic Development records. If you have any questions about the privacy of your information, please contact alumni@rawlinscounty.info

Last Name:	*
First Name:	*
Maiden Name:
Mailing Address:	*
City:	*
State:	*
Zip:	*
Email Address:	*
Work Phone:
Home Phone:
Cell Phone:
Year of High School Graduation:	*
Level of Education and/or Degree:
Occupation:
Spouse's Occupation (if married):
Number of Dependent Children:
0-5 6-12 13-18
Interest in coming home?
Strong Interest Some Interest No Interest
Interest coming home and starting a business?
Strong Interest Some Interest No Interest
Comments:
* Required
Note: If you move, please return to this page and submit the survey again.  Our database will update and email us with your most current information.