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| Zeta Tau Alpha Greater Ft. Lauderdale Alumnae Chapter Personal Data Sheet |
_____________________________________________________________________________ First Name Middle Name Last Name _____________________________________________________________________________ Maiden Name Nickname Birth month _____________________________________________________________________________ Address _____________________________________________________________________________ phone number best wayto provide information to you: _____________________________________________________________________________ email address _____________________________________________________________________________ Undergraduate University attended Location ______________________________________________________________________________ Zeta Chapter Graduation year _____________________________________________________________________________ Profession Company ______________________________________________________________________________ Company location ______________________________________________________________________________ Spouses name ______________________________________________________________________________ Chidrens' names and ages ______________________________________________________________________________ Hobbies / Interests Interested in volunteering for ZTA Alumnae? Phone tree ___ Committee Chairperson ___ Event Chairperson ___ Car pool ___ Willing to speak at an event ____ Topic _________________________________ Program / Event Ideas: Meeting prefernce: Subject preferences: weekdays _____ Professional Development ___ Service ___ weekends _____ Personal Development ___ Social ___ please print, complete and mail to our 2nd VP of Membership: Cheryl Price, 19501 W Country Club Drive, Apt. 815, Aventura, FL 33180 |