Collegiate Alumni Contact Form

We would like to contact you to notify you of future events, and to keep you informed about Collegiate news. Please take a moment to fill out and submit this form.
Name Name First Last
Email
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Year graduated from the Collegiate
May we contact you to notify you of future events, and to keep you informed about Collegiate news?

May we contact you to notify you of future events, and to keep you informed about Collegiate news? Yes No
Are you willing to connect with current Collegiate students through speaking events, mentorship, or other educational opportunities?

Are you willing to connect with current Collegiate students through speaking events, mentorship, or other educational opportunities? Yes No
If so, please include information on the following as they apply:
• Education background
• Areas of expertise and interest
• Professional and volunteer experience
• Other as applicable
EMPLOYMENT INFORMATION
Employer
Address
Position Title
Work Email
Work Phone Work Phone - ### - ### ####
Please let us know if you have any questions or would like to share any other information with us
Your personal information is collected by the University of Winnipeg Collegiate for the purpose of maintaining ongoing contact with Collegiate alumni. It will be used from time to time to send you news and information regarding our programs, activities, and special events. You may unsubscribe at any time. Your personal information is collected under the University of Winnipeg Act and 36(1)(b) of the Freedom of Information and Protection of Privacy Act. For questions please contact Olaf Johnson, Office Manager at 204.786.9901 or o.johnson@uwinnipeg.ca or mail the University of Winnipeg Collegiate, 515 Portage Avenue, Winnipeg, MB, R3B 2E9.
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Collegiate Alumni Contact Form

Collegiate Alumni Contact Form

We would like to contact you to notify you of future events, and to keep you informed about Collegiate news. Please take a moment to fill out and submit this form.

EMPLOYMENT INFORMATION