Alumni Information Update

Last Name While Attending Glen Oaks:
Date of Birth: - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
Name
First Middle Last
GOCC Degree or Certificate:
Year Earned:
Address
Street Address City State ZIP Code
Phone:
Email:
Enter Email Confirm Email
Spouse's Name:
(if applicable)
Other Educational Degrees/Institution(s):
Organizations/Clubs you currently belong to:
Current Employer:
Job Title/Position:
Business' primary product or service:
Did you play any collegiate sports?
- Yes
- No
Please list any sports you played while attending:
Did you attend with a scholarship?
- Yes
- No
Please list any scholarships you received while attending:
I would be interested in being an Alumni Ambassador and get involved with Glen Oaks Community College in the following ways:
- Be a classroom speaker
- Speaking for GOCC at a public event
- Participate in fundraising to help student success continue
- Willing to share your information for marketing purposes
(check all that apply)

It is our policy to not sell or share your information. It will be saved and used only for Glen Oaks Community College to continue to communicate with you in the future.