Alumni Bio Request Form

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Are you a Mathews-Dickey alumni? Mathews-Dickey is reaching out to former members of our organization to share their time, talents and resources with the organization they know and love. As part of the organization’s anniversary celebration every February, outstanding alumni are recognized who have demonstrated excellence in one or more of the following areas: education, role modeling, employment, community involvement, volunteerism and financial contribution. To register as an alumni or update your contact information please call Barbara A. Washington at (314) 382-5952, ext. 234 or complete the application below.

Personal Information

First Name:			Home Phone:
Middle Name:			Work Phone:	Ext:
Last Name:			Fax Number:
Street Address:			Email Address:
			Date of Birth:
City:			Birthplace:
State:			Spouse's Name:
Zip:			# of Children:	Boys Girls

Employment & Educational Information
High School:			Employer:
Graduation Date:			Title:
College Attended:			Years of Service:
Degree(s) Earned:	AA/AS BA/BS	Masters Doctorate	Other Pertinent Information:
Certificates Earned:
Awards & Memberships:

Alumni Information
What year did you become a member of the Mathews-Dickey Boys' & Girls' Club?
Please describe your ongoing support for Mathews-Dickey:			Volunteer Financially Both
Please describe what impact being a member of Mathews-Dickey Boys' & Girls' Club had on your life:

Mathews-Dickey Boys' & Girls' Club is a nonprofit 501 (c) (3) United Way member agency that annually provides educational, athletic and cultural enrichment programs to more than 40,000 young people from throughout the St. Louis metropolitan area. For 52 years the Club has taught youth respect, restraint and responsibility so that they may obtain credibility, integrity and accountability. For more information, call Barbara A. Washington or Bill Fronczak at (314) 382-5952, ext. 234.

Alumni Bio Request Form

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