Personal Information
First Name:
Middle Initial:
Last Name:
Previous/Maiden Name:
Mailing Address
Street:
City:
State:
Zip Code:
Contact Information
Home Phone Number:
Please include your area code.
Work Phone Number:
Please include your area code.
Cell Phone Number:
Please include your area code.
E-mail Address:
Year of Graduation from SCC (or a predecessor)
Graduation Year
Didn’t Graduate
2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Before 1980
Are you a current member of the Alumni Association?
Yes
No
Please select one or more of the strategies listed below if you would like to be involved in some capacity.
EDUCATION
Choose one or more boxes below
1.
Short, timely pratice updates for CEU’s
2.
Educational support for mentoring current students & new graduates
3.
“Reality Orientation” for new graduates from experienced nurses
SOCIALIZATION
4.
Annual reunion at graduation/vespers time
5.
Dinner and tours of area health car providers, new or upgraded departments, and new technology
SCHOLARSHIP SUPPORT
6.
Annual call for gifts for nursing scholarships for students and faculty
7.
Fundraisers to help support these and develop new scholarships
Please share ideas for practice updates provided by SCC that could earn you CEU’s: