1. Title
2. Surname
3. Maiden Name
4. Forename(s)
5. Preferred Name

2. Postcode

   Country

3. Home Tel. No.
4. Home Fax No.
5. Home E-mail
6. Mobile No.

2. Postcode

   Country

3. Work Tel. No.
4. Work Fax No.
5. Work E-mail
6. Mobile No.

1. Which is your preferred contact address?

   1. Home
   2. Business
2. Marital Status

   1. Married
   2. Single
   3. Divorced
   4. Widowed
3. Date of Birth

1. Year of entry
2. Year of leaving
3. House
4. Previous School
5. Were you a foundationer?

   1. Yes
   2. No
6. Were you a Chorister?

   1. Yes
   2. No

1. Surname
2. Forename(s)
3. Gender

   1. Male
   2. Female
4. Did he/she go to St Edmund's

   1. Yes
   2. No

1. Surname
2. Forename(s)
3. Gender

   1. Male
   2. Female
4. Date of Birth
5. Did/does he/she go to St Edmund's

   1. Yes
   2. No

1. Child's Surname
2. Forename(s)
3. Gender

   1. Male
   2. Female
4. Date of Birth
5. Did/does he/she go to St Edmund's

   1. Yes
   2. No

1. Surname
2. Maiden Name
3. Forename(s)
4. Relationship

   eg. Brother, friend, colleague, etc.

1. Surname
2. Maiden Name
3. Forename(s)
4. Relationship

   eg. Brother, friend, colleague, etc.

1. Employment/Sector

   Please give at least two descriptions of your job: first the sector, then the type of work you do. eg. Finance/Banking, Education/Lecturer, Retail/Purchaser, Medicine/Doctor, Service Industry/Hospitality, Law/Solicitor, Voluntary Sector/Chief Executive, etc.

2. Job Title
3. Name of Organisation
4. Retired
5. What did you do before you retired?

1. University/College
2. Subject
3. Qualification

   eg. BA, MA, BSc, PhD, etc

4. Year of Leaving
5. University/College
6. Subject
7. Qualification
8. Year of Leaving
9. Professional Qualifications

1. 1. Committee Member?
   2. Year Group Co-ordinator?
   3. Regional Co-ordinator?
2. Other?

1. 1. Speaking at a St Edmund's Career Day?
   2. Offering a work placement?
   3. Giving careers advice?

1. Have you attended any Society events in the past?

   1. Yes
   2. No

2. Might you be interested in attending any of the following, in:

   	Canterbury	London	Area closer to home
   Pub Gathering
   Dinner
   Musical Event
   Drama Production
   Cathedral Concert
   Sports Day

3. If you have any suggestions for future events, please comment below:

1. Do you play sports?

   1. Yes
   2. No

2. What sport(s) do you play?		Member of the Society Team?
   Cricket
   Hockey
   Football
   Tennis
   Squash
   Golf
   Sailing
   Cycling

3. Other

1. Do you play a musical instrument?

   1. Yes
   2. No
2. What instrument do you play?
3. Are you a professional, semi-professional or amateur musician?

   1. Professional
   2. Semi-professional
   3. Amateur
4. Do you sing?

   1. Yes
   2. No
5. What type of voice do you have?

   1. Soprano
   2. Alto
   3. Tenor
   4. Bass

1. What do you enjoy doing in your leisure time?

   1. Cultural experiences
   2. Theatrical experiences
   3. Sports fixtures
2. Other

1. How would you like us to communicate with you?

   1. E-mail
   2. Post
   3. Telephone
   4. Society Website
   5. Facebook
   6. Friends Reunited
2. How would you prefer to receive the twice yearly Society Newsletter?

   1. E-mail
   2. Post
3. Would you like to receive details about any of the following?

   1. Chronicle
   2. Foundation on a Hill
   3. Register
   4. Prospectus
   5. School News

1. Please tick if you would like information about:

   1. All-Weather, Multi-Purpose, Astroturf
   2. Scholarships and Bursaries
   3. School Master Plan
2. How might you support the School?

   1. One off donation
   2. Regular monthly gift
   3. Bequest
   4. Endowment

Your personal details will be securely held on our database to assist us in keeping you in touch with the Society and the School.

It will allow us to keep you informed of any news, developments and future Society and School events.

Under no circumstances will your data be divulged by us to any other party.

1. 1. I agree to this use of my personal data.