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About ACC:
ACC Foundation: Membership Form
(Print this form and send in)
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First/Last Name:
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______________________
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Phone Number:
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(_____) _______________
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Maiden Name:
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______________________
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E-mail Address:
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______________________
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Address:
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______________________
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Employer:
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______________________
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City/State/Zip:
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______________________
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Position Held:
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______________________
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Year of Graduation:
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______________________
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Degree Received:
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______________________
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What kind of Alumni activities would be of interest to you?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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Would you be willing to organize any alumni events?
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_______ YES
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_______ NO
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The information you provide on this form will be kept confidential.
However, it would be helpful to be able to use your name and other
pertinent information for the purpose of class reunions, class directories
and alumni events. Would you be willing to let us share this
information with fellow ACC alumni for these purposes only?
Mail or fax this form to: Jean Waeiss, The Lumberjack
Link, c/o Alpena Community College, 665 Johnson Street, Alpena,
MI 49707-1495, 989.358.7553 (Fax)
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