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ObituaryForm CThe following will be helpful in writing the obituary: Full name __________________________________________________________________ Name before marriage _______________________________________________________ Date and place of birth ____________________________________________________ Father's name ______________________________________________________________ Mother’s name_______________________________________________________________ Previous residences: (City/state and dates) _____________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Married to _________________________________________________________________ Date and location of marriage ______________________________________________ Previous marriage(s) and year of divorce/death _____________________________ Military service: (branch of service, dates of service, rank, where stationed, achievements) ________________________________________________________________________ Education: High school _______________________________________________________________ Graduated_____Yes _____No College(s) Degree(s): ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Employment history: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Children: Name/Relationship ___________________________________________________________________________ Address ___________________________________________________________________________ Spouse ____________________________________________________________________ Children___________________________________________________________________ ___________________________________________________________________________ Name/Relationship ___________________________________________________________________________ Address___________________________________________________________________ Spouse ____________________________________________________________________ Children___________________________________________________________________ ___________________________________________________________________________ Name/Relationship ___________________________________________________________________________ Address ___________________________________________________________________________ Spouse ____________________________________________________________________ Children___________________________________________________________________ ___________________________________________________________________________ Name/Relationship ___________________________________________________________________________ Address ___________________________________________________________________________ Spouse ____________________________________________________________________ Children___________________________________________________________________ ___________________________________________________________________________ Number of grandchildren ___________Number of great-grandchildren _________ Brothers and sisters: Name/Relationship __________________________________________________________________________ Address___________________________________________________________________ Name/Relationship __________________________________________________________________________ Address___________________________________________________________________ Name/Relationship __________________________________________________________________________ Address__________________________________________________________________ Memberships in organizations __________________________________________________________________________ Special achievements or honors ___________________________________________ __________________________________________________________________________ __________________________________________________________________________ Hobbies: __________________________________________________________________________ __________________________________________________________________________ Church ___________________________________________________________________ Time and place of funeral/memorial service _______________________________ __________________________________________________________________________ Time and place of viewing ________________________________________________ __________________________________________________________________________ Memorial contributions may be made to: __________________________________________________________________________ |
Updated April 2007 by the College Advancement Department.



