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Alumni Form

Fill in the form below and click on the 'Submit' button so that we may update your alumni information. This information will be kept confidential and used only for program and/or accreditation information. Please include any comments you may have. Thank you.

Name:

Street Address:

City:

State: Zip Code:

Student ID number or Birthdate:

Phone number:

E-mail address:

Are you currently employed in your field of study? (Please list where, and how long you have been employed in the comments box below.
Yes No


Please check the box below for the program you graduated from.

Child Development

Dental Hygienist

Human Services (Human Service Worker, Family Specialist, Addictions, Aging Studies, Social Work-Transfer

Therapeutic Massage

Radiologic Technology

Sonography

Surgical Technology

Your comments:

Health and Human Services at Lansing Community College

Health and Human Services
Health and Human Services Bldg, Room 108
Phone: (517) 483-1410
Additional contact information »