Alumni Questionnaire

We Want to Stay in Touch!

Are you a Janus alumnus? We’d love to hear from you! Please take a moment to complete the questionnaire below, keeping us updated with your current contact information and important events in your life that you’d like to share.

Share Your Success Story & Inspire More Students with Learning Differences!

Your success story and/or Janus testimonial will inspire more students and families at The Janus School and in our communities.

The Janus School Alumni Questionnaire

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
School you attended before Janus
What grade are you in now? What year will or did you graduate from high school?
Post high school institution (college, tech school, military) you attend(ed)
If you went to college or tech school, did you graduate?
Year of Graduation
Degree
If you have graduated from high school and/or college and are presently employed, where do you work and what is your occupation?
Are you married?
If Yes, what is your Spouse’s name?
Do you have any children?
If yes, what are their ages and names?
Are you interested in participating in an Alumni Reunion?
Are you willing to help plan or carry out an Alumni Reunion?
Share your success story, your memory of Janus, or anything else about yourself!