Alumni Association Information Form
Name
*
First Name
Middle Initial
Last Name
Maiden Name (if applicable)
Birth Date
*
-
Month
-
Day
Year
Date
Personal Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Program of Study
*
Credential(s) Earned: Degree, Diploma, Certificate
*
Graduation Term
*
Please Select
Spring
Summer
Fall
Graduation Year
*
Are you a first generation college student?
*
Yes
No
Current Employer
*
Job Title
*
Provide your LinkedIn page if you have one.
Is there a specific WGTC instructor who positively impacted your college career? If yes, please provide the instructor's name.
How has your technical education impacted your success?
*
I’m interested in:
Volunteering
Speaking at Events
Mentoring Students
Receiving Alumni News Updates
Receiving Career Services/Job Updates
Networking Events
I'm interested in making a donation:
One time
Recurring
Not at this time
Submit
Should be Empty: