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Newman Alumni Association Contact Information Form
Thank you for registering as an Alumni with our Chaplaincy! We are committed to protecting your privacy. Information obtained will be used solely for communication purposes and in determining anonymous demographic information. No personal information will be disclosed.
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Name (First and Last) *
Email Address *
Main Contact Number *
Mailing Address (Street Address, Unit Number, City, Province, Postal Code)
*
Program of Study & Graduating Year *
Current Occupation *
Marital Status
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Would you be interested in mentoring a student in the same field? *
Would you be interested in receiving correspondence from the Newman Centre (through Constant Contact)?
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