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Tell us about yourself
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*First Name  
Maiden Name
*Last Name
*Address Line 1
Address Line 2
*City
*State/Province
*Zip/Postal Code
*Telephone
E-mail
Do you want to share your e-mail address with your fellow alumns?
  yes no
Program/s of Study
Years of Attendance
Degree(s) Granted: A.S.
B.S.
B.S.N.
M.S.
Year last attended or graduated:
 
Status: Graduated
Attended
Faculty/Staff
Workplace
Title
Business Address
Business Telephone
Business E-mail
Spouse's Name in Full
Attended
Kettering College?
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Years of Attendance
Your News — Marriage, Births, Career, Education, etc.
Are you interested in joining Alumni Association activities?
    yes no
Please Mark Areas of Interest
Serve as a Class Representative
Serve on the Alumni Board
Serve on a Committee
Help with Alumni Events
Establish a Chapter in Your Local Area
Join in Alumni Activities
Mentor a New Graduate in Your Local Area
Mentor a Current Student
Other
What activities would you like to see the Alumni Association Offer?
Have you influenced someone to attend Kettering College of Medical Arts? If so, please list: (Name of Person and Year of Graduation)
Do you know someone who would benefit from a Kettering College of Medical Arts education? If so, please list: (Name of Person and Contact Information)
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