| First
Name:* |
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| Last
(Maiden) Name:* |
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| Home School: |
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| Graduation Year From Tri-Rivers: |
|
| Program completed at Tri-Rivers: |
|
| Instructor at Tri-Rivers: |
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| Are you currently working in the field indicated above? |
Yes
No
|
| |
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| Current Occupation: |
|
| Employer: |
|
| How
Long Employed: |
|
| Prior
Employment: |
|
| |
|
| Married: |
Yes
No
|
| Were any of your family members
TRCC graduates? |
Yes
No
|
| Please list their names and relationship to you: |
|
| Spouse's
Name: |
|
| Was
Spouse a TRCC Grad? |
Yes
No
|
| Children? |
Yes
No
|
| If so, names: |
|
| |
|
| What
training have you received since graduation? |
|
| What
are your job responsibilities? |
|
| |
|
Complete one or more of the following, or write a statement
that we may use as a quote. |
TRCC
helped me...
|
Because of
Tri Rivers Career Center, I have...
|
My training at
TRCC prepared me to...
|
To
anyone considering attending TRCC...
|
(Other)
|
| |
|
| I,
, hereby irrevocably consent to being photographed and/or quoted as to any comment made by me either recorded or as made to school personnel. The aforesaid can be used or published, without compensation to me, in any manner or form, and at any time
Tri-Rivers, without restriction and in its sole discretion, shall determine. I release
Tri Rivers Career Center and its associates from any liability in connection with the use of the aforesaid materials. |
| |
|
| Date: |
|
| Phone Number:* |
|
| Address:* |
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| City/State/Zip:* |
|
| Email: |
|
| |
| Would you like to join the Tri-Rivers Alumni Club? |
|
Yes No |
| Would you like
to fill out an Alumni of the Year award form? |
|
Yes No |
| Would you
like to receive Alumni & Tri-Rivers news by e-mail? |
|
Yes No |
