Centenarian Questionnaire

CENTENARIAN QUESTIONNAIRE

Your alumni association would like to honor our alumni who are 100 years or older. If you went to South High between 1928 and 1939, please complete and submit the questionnaire below. If you know someone who fits this description, please tell them about this project.

Submission of the questionnaire implies permission for us to use the content submitted in both printed and social media communications. The amount of information published in the Alumni Tooter will be based on available space.

Give us a call at 402-738-9493 or email at office@OmahaSouthAlumni.com with any questions!

Notice: By submitting this form you agree that SHSAA can use this for the SHS Alumni TOOTER bi-annual publication and on their website. You also give SHSAA the right to edit your submission for space, clarity or spelling errors.

* Indicates required field

Name *

First

Last

Maiden (if applicable) *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Graduation Year *

Birthdate (MM/DD/YYYY) *

Did you attend SHS, but not graduate? Tell us why: *

Do you have any favorite memories from when you attended South High School? *

Was there a special SHS teacher / staff member / coach who impacted your life in a very significant way? Please tell us: *

What did you do after leaving SHS? *

Tell us about any life events that shaped your life the most? *

What is your secret to living to and past 100? *

Any advice for current South High students? *

Submit a Photo *

Max file size: 20MB

We’d love a picture of you (then and/or now) if you’d like to submit one with your questionnaire. Give us a call at 402-738-9493 or email at office@OmahaSouthAlumni.com with any questions!

Submit

* SHSAA will not share any of your personal information with third parties. Phone numbers will only be used if an email address on file doesn't work.