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 enewsletter Alumni & Friends.

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 Protection of Privacy
The personal information collected through this online form is for the purpose of connecting MHC alumni to college news, events and opportunities. This collection is authorized by Section 4(c) of the Protection of Privacy Act. For questions about the collection of this personal information, please contact the Administrative Assistant in College Advancement at Medicine Hat College at alumni@mhc.ab.ca.