Alumni & Friends Information Form
This alumni data form will allow us to keep up with our graduates and friends. You may leave any information blank that you do not wish to share, other than your name, address, and email address.

You do not need to be a graduate of Nunez Community College to join. Family, friends, and former students (regardless of status) are all welcome to join the Alumni Association.

Contact Information
Last Name *
Your answer
First Name *
Your answer
Birthdate
(mm/dd/yyyy)
Your answer
Gender
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Preferred Email Address *
Please use an email address that you plan to keep and check regularly.
Your answer
Preferred Phone Number
xxx-xxx-xxxx
Your answer
Secondary Phone Number (if applicable)
xxx-xxx-xxxx
Your answer
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