Alumni Information Form - White Mountains Community College

Please complete this form in as much detail as possible. Thank you in advance for helping WMCC keep accurate Alumni records.
Alumni Information
Name*
First Name Last Name Previous Last Name
Date of Birth
MM slash DD slash YYYY
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Year of Graduation*
WMCC Major/Program*
Current Employment Information
Company Name
Company Address
Job Title
Work Phone
Salary Range
- Less than $30,000.00
- $30,000.00-$40,000.00
- $40,000.00-$50,000.00
- $50,000.00-$60,000.00
- $60,000.00-$75,000.00
- $75,000.00-$100,000.00
Job Type
- Full Time
- Part Time
College Transfer Information
Name of Institution
Major
Degree Awarded