Board of Trustees 2019-2020 Bio Form

General Info

Full Name

First Name

Last Name

Preferred Name

Title

Email

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone Number

(###)

###

####

Home Fax Number

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone Number

Business Fax Number

Alternate Address (if applicable)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Alternate Phone Number

Alternate Fax Number

Where would you prefer your mail sent?

Home Address

Business Address

Alternate Address

Secretary/Assistant's Name

Secretary/Assistant's Phone Number

Education

High School

College

Year Graduated

Postgraduate work

Family Information

Spouse's Name

First Name

Last Name

Spouse's Occupation

Spouse's Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Spouse's Business Phone

Spouse's Business Fax

Spouse's Secretary/Assistant's Name

Children's Names, Ages and School/College info

Other Info

Your relationship to Spoleto Study Abroad

Check all that apply

Alumna

Parent

Past Parent

Friend

Other organizations for which you serve as a trustee

Other foundations you/family member(s) serve

Hobbies & Special Interests