Affiliation Update Request

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Affiliation Update Request

Submitted by:

Date: +

Submitter's Name: *

Submitter's Email: *

Submitter's Department: *

Submitter's Phone/Ext: *

New Affiliation/Roles

Name:

Class:

ID Number:

Start Date: +

Affiliation:

Class Roles:

Reunion Roles:

Admissions Roles:

Regional Roles:

GAA Director Roles:

Trustee Roles:

Awards Comm. Roles:

1781 Roles:

Trustee Counc. Roles:

Parent Committee Roles:

Friends of the Library Roles:

Exeter Asia Council Roles:

Young Alumni Council Roles:

STARS Roles:

Add Another?

Yes

No

Name:

Class:

ID Number:

Start Date: +

Affiliation:

Class Roles:

Reunion Roles:

Admissions Roles:

Regional Roles:

GAA Director Roles:

Trustee Roles:

Awards Comm. Roles:

1781 Roles:

Trustee Counc. Roles:

Parent Committee Roles:

Friends of the Library Roles:

Exeter Asia Council Roles:

Young Alumni Council Roles:

STARS Roles:

Add Another?

Yes

No

Name:

Class:

ID Number:

Start Date: +

Affiliation:

Class Roles:

Reunion Roles:

Admissions Roles:

Regional Roles:

GAA Director Roles:

Trustee Roles:

Awards Comm. Roles:

1781 Roles:

Trustee Counc. Roles:

Parent Committee Roles:

Friends of the Library Roles:

Exeter Asia Council Roles:

Young Alumni Council Roles:

STARS Roles:

Add Another?

Yes

No

Name:

Class:

ID Number:

Start Date: +

Affiliation:

Class Roles:

Reunion Roles:

Admissions Roles:

Regional Roles:

GAA Director Roles:

Trustee Roles:

Awards Comm. Roles:

1781 Roles:

Trustee Counc. Roles:

Parent Committee Roles:

Friends of the Library Roles:

Exeter Asia Council Roles:

Young Alumni Council Roles:

STARS Roles:

Add Another?

Yes

No

Name:

Class:

ID Number:

Start Date: +

Affiliation:

Class Roles:

Reunion Roles:

Admissions Roles:

Regional Roles:

GAA Director Roles:

Trustee Roles:

Awards Comm. Roles:

1781 Roles:

Trustee Counc. Roles:

Parent Committee Roles:

Friends of the Library Roles:

Exeter Asia Council Roles:

Young Alumni Council Roles:

STARS Roles:

Ending Affiliation/Roles

Name:

Class:

ID Number:

End Date: +

Affiliation:

Class Roles:

Reunion Roles:

Admissions Roles:

Regional Roles:

GAA Director Roles:

Trustee Roles:

Awards Comm. Roles:

Trustee Counc. Roles:

1781 Roles:

Parent Committee Roles:

Friends of the Library Roles:

Exeter Asia Council Roles:

Young Alumni Council Roles:

STARS Roles:

Add Another?

Yes

No

Name:

Class:

ID Number:

End Date: +

Affiliation:

Class Roles:

Reunion Roles:

Admissions Roles:

Regional Roles:

GAA Director Roles:

Trustee Roles:

Awards Comm. Roles:

1781 Roles:

Trustee Counc. Roles:

Parent Committee Roles:

Friends of the Library Roles:

Exeter Asia Council Roles:

Young Alumni Council Roles:

STARS Roles:

Add Another?

Yes

No

Name:

Class:

ID Number:

End Date: +

Affiliation:

Class Roles:

Reunion Roles:

Admissions Roles:

Regional Roles:

GAA Director Roles:

Trustee Roles:

Awards Comm. Roles:

1781 Roles:

Trustee Counc. Roles:

Parent Committee Roles:

Friends of the Library Roles:

Exeter Asia Council Roles:

Young Alumni Council Roles:

STARS Roles:

Add Another?

Yes

No

Name:

Class:

ID Number:

End Date: +

Affiliation:

Class Roles:

Reunion Roles:

Admissions Roles:

Regional Roles:

GAA Director Roles:

Trustee Roles:

Awards Comm. Roles:

1781 Roles:

Trustee Counc. Roles:

Parent Committee Roles:

Friends of the Library Roles:

Exeter Asia Council Roles:

Young Alumni Council Roles:

STARS Roles:

Add Another?

Yes

No

Name:

Class:

ID Number:

End Date: +

Affiliation:

Class Roles:

Reunion Roles:

Admissions Roles:

Regional Roles:

GAA Director Roles:

Trustee Roles:

Awards Comm. Roles:

1781 Roles:

Trustee Counc. Roles:

Parent Committee Roles:

Friends of the Library Roles:

Exeter Asia Council Roles:

Young Alumni Council Roles:

STARS Roles:

Attachment for Bulk Changes: 🛈

Comments:

Phillips Exeter Academy | 20 Main Street, Exeter, NH 03833 | Tel 603-772-4311