UCC Alumni Association Membership Form

Related Subjects

Information collected will be used to keep you informed about UCC alumni news.

Required fields marked with an asterisk*

First Name*
Middle Name
Maiden Name (if applicable)
Last Name*
Title		Other
Suffix		Other
Nickname
Date of Birth*
Address*
City*
State*
Zip*
Home Phone
Work Phone
Cell Phone
Fax
Personal Email
Work Email
May we contact you:
by Email? by Postal Mail by Phone?
UCC Education - First UCC Degree
Years Attended UCC
Year Graduated
Field of Study
Degree Earned
UCC Education - Second UCC Degree
Field of Study
Degree Earned
College Education Beyond UCC
Field of Study/Major
Highest Degree Earned
Do you have a new job? Have you recently completed another college degree? Have you married or had a child? This is the type of information you could share for posting on an alumni news webpage and/or to be included in a future alumni newsletter. It is a great way to catch up with your UCC alumni friends. Use the box below to send us any information that you would like to communicate.