Alumni Form

Help us keep you informed about what is happening at Century College and connected to alumni activities by filling out this form.

This information will remain confidential and will be used only for the purposes of the Century College Alumni Association.

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Personal Information

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Program of Study: Last Year Attended:

First Name: * Last Name: * Suffix:

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Address: *

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E-mail Address: *

Employment Information

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What are you doing now?

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alumni newsletter.

Any other information you would like to include :

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	I am interested in joining the Century College Alumni Association. Please contact me.
	I wish to receive Century College, or Alumni News.
	I would like to be an event volunteer or host. Please contact me.
	I have an interest in offering my time and experience at Century College for mentoring, seminars, workshops or presentations. Please contact me.

3300 Century Avenue North
White Bear Lake, Minnesota 55110
651.779.3300
800.228.1978
TTY: 651.773.1715

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