Fall 2006 - Durham College

ALUMNI RECORD
FIRST NAME LAST NAME LAST NAME UPON GRADUATION (IF DIFFERENT)
STUDENT NUMBER BIRTH DATE MALE FEMALE
PROGRAM
YEAR GRADUATED
NUMBER AND STREET NAME
CITY/PROVINCE/COUNTRY
POSTAL CODE TELEPHONE NUMBER E-MAIL ADDRESS
EMPLOYMENT HISTORY (ATTACH A BUSINESS CARD IF APPLICABLE)
COMPANY NAME
POSITION/TITLE
OTHER POST-SECONDARY EDUCATION
COLLEGE/UNIVERSITY
DATE OF GRADUATION
PROGRAM/DEGREE
OTHER INFORMATION
SPOUSE’S NAME (INCLUDE MAIDEN NAME IF RELEVANT)
MARITAL STATUS SPOUSE IS A DURHAM COLLEGE GRADUATE YES NO
IF YES, PROGRAM AND YEAR OF GRADUATION
CHILD #1
F M NAME AGE
CHILD #2
F M NAME AGE
CHILD #3
F M NAME AGE
PLEASE ATTACH ANY ADDITIONAL PHOTOS OR NOTES REGARDING SPECIAL ACHIEVEMENTS, PROMOTIONS, BIRTHS, MARRIAGES, ETC.
PLEASE SHARE THIS INFORMATION IN THE ALUMNI UPDATE SECTION OF REFLECTIONS
PLEASE SEND US YOUR JPEG PICTURES TO ALUMNI@DURHAMCOLLEGE.CA TO BE INCLUDED IN REFLECTIONS.
WE RESPECT YOUR PRIVACY: DURHAM COLLEGE RESPECTS YOUR PRIVACY. FROM TIME TO TIME THE ALUMNI OFFICE OR THEIR PARTNERS MAY CONTACT YOU WITH REGARD TO UP COMING ALUMNI EVENTS OR
EXCLUSIVE OPPORTUNITIES BASED ON THE NEEDS OF OUR GRADUATES. IF YOU WOULD RATHER NOT RECEIVE THIS INFORMATION FROM US OR ANY OF OUR PARTNERS, PLEASE CALL THE ALUMNI OFFICE AT
905.721.3035.
WWW.DURHAMCOLLEGE.CA REFLECTIONS | FALL 2006 23