Memory Book Questionnaire

Please fill out this information so we can include it in the memory book. If you'd like to add additional information, please do so.

BEFORE PROCEEDING - Please check which personal information we may include in the memory book:

Address         Phone        Email Address

Name:     Maiden Name:

Address (include City, State & Zip):

Phone:     Email:     Web Page:

Date of Marriage(s):     Spouse/Partner Name:

Children's Names, Age & Gender:

Military Service (Branch & Number of years & Successes):

Current position, occupation or field?

What moved you to choose your current career?

What is the most interesting place you have visited since graduation?

What is your favorite memory of Roseville High School (i.e. funniest moment, etc.).

Who was your favorite teacher & why?

In the past 30 years, what events have meant the most to you? (i.e. children, education, etc.)

What fads are the most memorable from high school?

What song(s) remind you most of high school?

Have you had any unusual experiences you would like to share?

What are your hobbies & interests?

Any words of wisdom?

Favorite Quote:

Other:

If you'd like, you can print this form and mail to to Beth Borysewich ~ 8970 W. Cheyenne 109-122 ~ Las Vegas, NV 89129

Or fax to 702-363-6230