Two students sitting outside under a tree.

Alumni Form

CONTACT INFORMATION

First Name: Last Name: Maiden Name (if different): Phone Number: Email Address (no mymhc.ca addresses please):

MAILING ADDRESS

Address: City: Province/State: Postal/Zip Code

PROGRAM INFORMATION

Program(s) of study: Last year attended/ Grad year: Birth date (used to match alumni and student accounts): :

ATHLETICS

Were you a Rattler? Please specify the sport and years you played

EXPRESS CONSENT

I provide consent and agree to receive electronic correspondence from Medicine Hat College including alumni membership information, news, events, promotions, and the alumni ezine, real.

I consent to the above communication types: Yes No I consent to correspondence related to Rattlers Athletics and/or MHC Rattlers Booster Club: Yes No

The personal information requested on this form is collected under the authority of Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. The information collected will only be used under the provision of alumni & friends communications, benefits and/or opportunities. Questions concerning the collection, use or disposal of this information should be directed to the Community Relations Officer (alumni@mhc.ab.ca) or the FOIP Coordinator, Medicine Hat College, 299 College Drive SE, T1A 3Y6, or 403.529.3800 or foip@mhc.ab.ca.