Brick Memorial Pathway Form

Palo Alto College will host a ceremony at the Memorial Brick Pathway on Thursday, August 22, to pay tribute to those who are gone but not forgotten. Engraved with the names of Palo Alto College family and friends, the Pathway commemorates these individuals and their incredible commitment to the success of students and the community.

If you know of a PAC family member who has passed, you can assist us in reaching out to their loved ones by submitting their name and their family’s contact information. We realize you may not have complete information, but please answer the questions below to the best of your ability.

Deceased information

Name

Which year(s) was the deceased employed at PAC? If unknown, please provide estimate. :

Title (if known, please provide any information about the department the deceased may have worked in at PAC)

If the deceased is not a former PAC employee, please indicate a relationship to the PAC employee (i.e., sister of xxx)

Submitter Information

Name

Where you can be reached to respond to any questions? *

Phone Number

Email:

Family Member Point of Contact of the Deceased

Name

Phone Number