Community College of Allegheny County (CCAC)

Community College of Allegheny County

Update Your Alumni Contact Information

As an alumnus of CCAC, we want to stay in touch with you. Please complete and submit the form below, so we can update our records. We'll send you the next edition of CCAC AlumNet News, the college’s alumni e-newsletter, as a first step in getting you connected. We do not sell or trade address or email information with third party marketers. Thank you!

Required fields are marked with an asterisk(*).

Section 1: Contact Information
Title*:   
First Name*:   
Last Name*:   
If different, name while attending CCAC:
Date of Birth*:   
Current Address*:   
Current Address 2: 
City*:   
State*:   
Zip Code*:   
Email*:   
 
Home phone: 
Cell phone: 
Primary Campus Attended*:  
Last year attended CCAC*:   
Program of Study*:
 

Member of Phi Theta Kappa?*:

 

Did you complete a degree or program?*:
 
If not, how many credits did you earn?*:
 

How did you hear about our drive to reconnect with alums?*:

If "Other", please specify:
 

Section 2: Tell us more about yourself!
What is your current occupation?:
Employer: 
Title: 
Business Address: 
City: 
State: 
Zip Code: 
Business phone: 
Business email: 
After CCAC, did you continue your education?
College/University Name: 
Major: 
Degree: 
Year Graduated: 
Graduate School: 
Field of Study: 
Graduate Degree: 
Year Graduated: 
Section 3: Alumni Program Information
Please check all that apply.
I am interested in becoming involved in CCAC's efforts to build an Alumni Program.
I would attend program meetings.
I will help organize get-togethers and events.
I will host an alumni reception in my area.
I would be interested in attending these types of activities.
I am willing to be a mentor/provide career advice to current students or recent graduates.
I/my company would be interested in providing career-related work experience such as internship and/or part-time positions.
I am interested in joining the CCAC Alumni Association. Please send me an information packet.
Please list any memberships in professional organizations or positions on corporate/foundation boards on which you serve.
Marital Status:
Please share any personal or professional news for upcoming issues of the CCAC AlumNet News, the college’s alumni e-newsletter.
Is there someone you would like to recommend for the advisory board, a newsletter feature, etc. whose work or life might be of interest to others? You may nominate yourself!