Coburg High School Historical Group, Inc.

Register of Former Staff Members

Please supply the following information:

Is this a new submission, or are you updating data already submitted?
New Submission
Updating Data

Preferred Title:


Surname when at CHS:


Surname now (if different):


First Given Name:


Other Names:


Years when on staff at CHS:


Teaching Subjects:


Other Special Interests or Responsibilities (e.g. sporting coach, level co-ordinator):


Preferred Email Address:


Current Status (e.g. retired, another occupation, still teaching):


Current Postal Address (line 1):


Current Postal Address (line 2):


Current Postal Address (line 3):


Current Postcode:


Telephone:


Mobile Telephone:


Is there anything else that you would like to tell us?: