Alumni Association

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.

* Denotes a required field

Personal Information

School Attended: *

Program of Study: Last Year Attended:

First Name: * Last Name: * Suffix:

Maiden or previous name used while in school:

Address: *

City: * State: * Zip Code: *

Phone:

E-mail Address: *

Employment Information

Place of Employment:

Job Title:

Work Address:

City: State: Zip Code:

Phone:

What are you doing now?

Check here if we may share this information in an
alumni newsletter.

Any other information you would like to include :

Select applicable checkbox(s) below

	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.

Got Questions? Ask Century

Explore Century

A member of the Minnesota State Colleges & Universities System. Century College is an equal opportunity educator and employer.

This publication is available in alternative formats by calling one of the following:
General number: 651-779-3200 | Toll-free: 1-800-228-1978 | TTY: 651-773-1715 (for the hearing impaired)
3300 Century Avenue North, White Bear Lake, MN 55110

Search century.edu

Alumni Association

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

Explore Century