Southeast Kentucky Community and Technical College

ATTENTION!!
GRADUATES OF SOUTHEAST!

Please assist Southeast Kentucky Community and Technical College as we work to update our graduate records.
Please Complete the form below and SUBMIT.

Last_name First name (Maiden Name ) MI

Mailing Address: City: State: Zip:

eMail Address: Telephone:

Place of Employment: Title of Your Position: Work Telephone:

Date of Graduation: Additional Education:

Are you interested in joining an Alumni Association for those who have graduated from Southeast? Yes No

Would you be willing to do to help revive and maintain this Alumni Association? Yes No	Would you be interested in holding any of the following positions?
If yes, would you be willing to (Check all that Apply): Telephone/eMail members about meetings Assist with mailings Help plan programs Maintain a website Help set up a database Arrange for meeting places Arrange for refreshments	President Vice-President Secretary Treasurer Steering Committee Other:

Would you be willing to do to help revive and maintain this Alumni Association? Yes No

Would you be interested in holding any of the following positions?

If yes, would you be willing to (Check all that Apply):

Telephone/eMail members about meetings
Assist with mailings
Help plan programs
Maintain a website
Help set up a database
Arrange for meeting places
Arrange for refreshments

President
Vice-President
Secretary
Treasurer
Steering Committee
Other:

Do You have any other comments or suggenstions?