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?

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.

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