Forms

Has your name changed since attending CCMS? Has your name changed since attending CCMS?: Yes No

Name while attending CCMS (if different)

First Name: First Name:

Middle: Middle:

Last Name: Last Name:

Suffix: Suffix:

How would you like to help your alma mater? Check all that interest you. How would you like to help your alma mater? Check all that interest you.: College fairs Career days (share information about the death care profession with potential students) Class/cohort leadership (keeping classmates connected) Special events support (continuing education homecoming etc.) Fundraising Not sure Other

If other, tell us how you'd like to help

What geographic areas are you able to help cover? What geographic areas are you able to help cover?: Not sure Cincinnati only Greater Cincinnati South West Ohio South East Ohio Central Ohio North West Ohio North East Ohio Other

Is there a specific city or zip code you'd like to cover?:

Alumni Ambassadors Club

Name (Current)

Name while attending CCMS (if different)