Alumni and Friends Information Form

We want you!

Rose State College has many friends and alumni who are passionate about the College and our community. If you have not already done so, please allow us to gather more information about you by taking the time to complete our information form. You are important to the past, present and the future of Rose State College! It is time to move forward and celebrate what we have had and what is is to come. Join us today!

Information you share is for Rose State College use ONLY and will not be released or given to outside vendors.

Alumni & Friends Information

First Name *

Last Name *

Email Address *

Street Address

City

ZIP

Home Phone Number 555-666-7777

Other Phone Number 555-666-7777

Employer

Title/Position

Area(s) of study while attending RSC - if applicable:

Business and Information Technology
Engineering and Science
Health Sciences
Humanities
Social Sciences

Years attended RSC - if applicable:

What Alumni activities interest you? I would...

...like to attend Rose State Alumni events.
...like to support student scholarships.
…like to take part in the Young Alumni Advisory Committee

Other ways you would like to support our Alumni Association:

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