The Association would like to hear from
you. Send your updated contact
information by filling out the form
below. If you are not a member, please
consider
joining
the Alumni & Friends Association!
Please Note: Information gathered by
Iowa Lakes Community College is never
shared with anyone under any
circumstances unless expressly requested
by the individual.
Maiden Name (if applicable):
Last Name:
Social Security Number:
Date of Birth:
Year of Iowa Lakes Graduation:
Program:
Campus Attended:
Marital Status:
Spouse's First Name:
Spouse's Maiden Name (if
applicable):
Spouse's Last Name:
Spouse Iowa Lakes Alumni?
Yes
No
Spouse's Graduation School/Year:
Mailing Address Current Address:
City:
State:
Zip Code:
Country:
Phone Number:
E-mail Address:
Professional Information
(Optional)
Job Title:
Company:
Company Address:
City:
State:
Zip Code:
Phone Number:
Business E-mail Address:
Additional Information
(Optional)
Please share with us information
about your hobbies, awards, family
etc. We will highlight you in the
next issue of Laker Reflections.
Alumni & Friends Association Information
Currently a Member of the Alumni & Friends
Association
Unable to join at this time however
here is my information
You may send me information on the
Iowa Lakes Community College Alumni
& Friends Association
By submitting this information,
you grant the Iowa Lakes Alumni &
Friends Association or Iowa Lakes
Community College the right to use
your information (excluding
pertinent information such as
address, date of birth, social
security number) to promote the
association or college.
