MAPLE HTS. CLASS OF 1970 BIOGRAPHICAL QUESTIONNAIRE
To help classmates get to know one another better, please complete the form below and return it even if you will not be attending the reunion. Responses will be used to update listings on the class website, unless you request specific information be kept confidential. No phone numbers or addresses are posted on the website. Increase font size, add extra spaces to the online form, or use the back of a printed page, as needed. PLEASE TYPE OR PRINT CLEARLY! Website address: http://www.geocities.com/drunevitch/index.html
* Responses marked with an asterisk will only be used for contact information and to create a statistical class profile (with no identifying information). Mail to: Denise Tobey Runevitch, 365 Wallace Dr., Berea, OH 44017. Or e-mail to: [email protected] Call (440) 234-9277 with updates or questions.
GETTING TO KNOW YOU
NAME - FIRST, MIDDLE, LAST, (MAIDEN)_____________________________________________________________
*ADDRESS________________________________________________________________________________________
*PHONE (HOME)__________________(CELL)_________________(WORK)________________(FAX)________________
E-MAIL ADDRESS ________________________________________________________________________
BIRTH DATE (MONTH/DAY/YEAR)______________ CITY/STATE OF BIRTH_______________________________
ELEMENTARY SCHOOL_______________________________ JUNIORHIGH___________________________
TRADE/VOCATIONAL SCHOOL______________________________________________________________________
COLLEGE/LOCATION/DEGREE/MAJOR/GRADYEAR___________________________________________________
GRADUATE SCHOOL/LOCATION/DEGREE/YEAR________________________________________________________
MILITARY/BRANCH/RANK/YEARS INSERVICE/LOCATIONS__________________________________________
MARITAL STATUS: MARRIED_ SIGNIFICANT OTHER_ DIVORCED_ WIDOWED_ SINGLE_ *NUMBER OF MARRIAGES__
WEDDING DATE (MONTH/DAY/YEAR)___________ CITY/STATE OF WEDDING_____________________________
NAME OF SPOUSE/PARTNER______________________ SPOUSE'S BIRTH DATE (MONTH/DAY/YEAR)__________
SPOUSE'S HIGH SCHOOL/COLLEGE/GRADYEAR/____________________________________________________
*EMPLOYMENT: FULL-TIME__ PART-TIME__ SELF-EMPLOYED__ UNEMPLOYED__ DISABLED__ RETIRED(DATE)_____
OCCUPATION/EMPLOYER________________________________________________________________________
*EMPLOYER'S ADDRESS______________________________________________________________________________
SPOUSE'S OCCUPATION/EMPLOYER________________________________________________________________
*HOW MANY/WHAT JOBS YOU'VE HAD___ _______________________________________
NUMBER/CHILDREN__ NUMBER/GRANDCHILDREN__ BIRTHDATE/OLDEST/YOUNGEST GRANDCHILD____/____
CHILDREN'S NAMES/AGES/BIRTH DATES/SCHOOLS/OCCUPATIONS/MARITALSTATUS________________________
____________________________________________________________________________________________
*HOW MANY BROTHERS___ SISTERS___ NAMES/AGES/HIGH SCHOOL/GRADYEARS_____________________
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*PARENTS: MOM (NAME/AGE)____________________________ DAD (NAME/AGE)_________________________
ETHNIC HERITAGE: MOM__________________________________ DAD____________________________________
RELIGIOUS AFFILIATION: CHILDHOOD___________________________ CURRENT___________________________
* ACTIVE CHURCH MEMBER___ ATTEND OCCASIONALLY___ DO NOT ATTEND___ AGNOSTIC___ ATHEIST___
POLITICAL AFFILIATION: DEMOCRAT___ REPUBLICAN___ INDEPENDENT___ OTHER_________________
* LIBERAL___ MODERATE___ CONSERVATIVE___ REGISTERED VOTER___ POLITICAL ACTIVIST___
*HOW MANY PLACES YOU'VE LIVED____ CITIES/STATES/COUNTRIES IN WHICH YOU'VE LIVED:___________
______________________________________________________________________________________________________
*HOW MANY/WHICH STATES YOU'VE VISITED____ _________________________________________________________
*HOW MANY/WHICH COUNTRIES YOU'VE VISITED____ __________________________________________________
MEMBERSHIP IN CLUBS/ORGANIZATIONS_________________________________________________________
HOBBIES/INTERESTS_____________________________________________________________________________
AWARDS/HONORS____________________________________________________________________________________
FAVORITE SPECTATOR SPORTS/TEAMS_______________________________________________________________
PARTICIPATION IN SPORTS____________________________________________________________________________
TYPES/NUMBER OF PETS EVER OWNED: DOGS___ CATS___ BIRDS___ FISH___ OTHERS_________________
CURRENT PETS/NAMES/AGES___________________________________________________________________________
HIGH SCHOOL ACTIVITIES/CLUBS/ GROUPS/SPORTS__________________________________________
_________________________________________________________________________________________________
TEACHERS YOU REMEMBER OR LIKED (LIST GRADE/SUBJECT TAUGHT)______________________________
_____________________________________________________________________________________________
MEMORIES OF HIGH SCHOOL AND GROWING UP IN MAPLE HTS. ___________________________________
_____________________________________________________________________________________________
ADVERSITIES/CHALLENGES/HEALTH ISSUES YOU'VE FACED ________________________________________________
______________________________________________________________________________________________
ACCOMPLISHMENTS/PROUDEST MOMENTS ________________________________________________________
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IN THE SPACE BELOW, PLEASE WRITE A BRIEF BIOGRAPHICAL PARAGRAPH TO BE POSTED ONTHE CLASS WEBSITE. IF YOU PRINT THIS FORM, YOU MAY USE THE BACK OFTHE PAGE OR A SEPARATE SHEET OF PAPER.
