Athletic Alumni Update Form
Email
Secondary Email
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Email address *
First name *
Last name *
Address 1 *
City *
State *
ZIP Code *
Cell Phone Number
Previous Name:
EDUCATION INFORMATION
Year of Graduation from Southwestern?
Sport participated in at Southwestern:
School transferred to:
Did you compete at your next school? If so, what sport?
WORK INFORMATION
Current Occupation / Title:
Employer:
YOU AS AN ATHLETE
Describe one of your favorite memories of Southwestern:
Would you like more information about supporting the athletic department?
Yes
Booster Club
A specific sport
Scholarship donation
Can we include your information in the Southwestern Magazine?
YES
NO
Data Consent - I agree that by submitting this form/application to Southwestern Community College, I give consent to Southwestern to store and use personal and academic-related information for all recruitment and academic records-related activities. I also agree to allow Southwestern to use multiple forms of communication for the purpose of recruitment and academic-related information during my academic career. I understand that if I do not agree to this statement, this form/application cannot be submitted.
YES
NO
Submit
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