Seacamp Questionnaire

Please complete this questionnaire with as much information you feel comfortable sharing, and as your time permits.

Last Name:

First Name:

Middle Initial:

Last Name at Seacamp:

Home Address:

City:

State:

Zip:

Phone:

Email:

Fax:

Business Name & Address:

City:

State:

Zip:

Phone:

Email:

Fax:

School(s) Attended (College/University):

Years

Degree(s)/Major(s)

College/University:

Tell us about your family:

Name of Spouse

Spouse's Business/Employer

Child name:

Age:

Phone:

Email:

Fax:

Address:

City:

State:

Zip:

Child name:

Age:

Phone:

Email:

Fax:

Address:

City:

State:

Zip:

Child name:

Age:

Phone:

Email:

Fax:

Address:

City:

State:

Zip:

Parents:
Mother:

Father:

Please list any relatives/friends who attended Seacamp:

Name

Years

Address, State, Zip:

What favorite memories of your experiences do you recall from Seacamp?
How did your Seacamp experience favorably impact your life?
As an alumnus, what activities, communications and programs or event would you like us to consider offering?
Given the opportunity, what skills, knowledge, and/or resources would you like to share with us
Share with us any special awards, achievements, publications you might have received since attending Seacamp.
Please list any organizations, community service agencies or professional boards with whom you have served along with your responsibility.
Write any message to share with our current staff and/or future staff/campers?
If available at this time, would you please include a copy of your current resume when you return this survey.
May we publish information concerning your successes in future alumni publications? Yes No
Please share any additional thoughts
Special message to Irene, Founder, Executive Director
Special message to Grace, Director, Seacamp