Gogebic Community College Foundation Nomination Form

Gogebic Community College would like your help in building an Alumni Directory.

Denotes a required field. ^*
E-mail Address:	^*
First Name:	^*
Last Name:	^*
Maiden Name:
Street Address:	^*
City, State, Zipcode:	, ^*
Phone No.:
Years Attended:
If you graduated from GCC, please provide the following information if applicable:
Graduation Year:
Degree Earned:
If you transfered to a university, please provide the following information if applicable:
Transfered To:
Degree Earned:
Please provide the following employment information if applicable:
Employed By:
Current Position:
Information you would like included in the Alumni Newsletter:
Special Requests:
Please include me in the GCC Alumni Directory

For more information, contact the GCC Alumni Foundation Office at 906-932-4231, Ext. 202.
Or e-mail Carrie Miljevich.