BC3 Alumni Information Update Form

Contact Information

* Name

* Name while attending BC3

* Home Address

* City

* State

* Zip Code

* Phone

Birthday

E-Mail Address

Employment Information

Place of Employment

Position/Title

Address

City

State

Zip Code

Phone Number

Fax

Butler County Community College Information

* Years Attended

Degree Earned

Course of Study

Campus Activities

Additional Education

College/University

Years

Degree Earned

Course of Study

 

College/University

Years

Degree Earned

Course of Study

Community Involvement

Almuni Association Involvement

I am interested in helping the Alumni Association with the following:

Event Planning

Fund Raising

Student Recruitment/Attending College Fairs

Special Events & Recognition

Public Awareness & Governmental Relations

Other

 

In what type of Alumni activities would you like to participate?

 

Comments or suggestions?

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