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Alumni Information Form

Click here for a PDF version of form.

Darton College is proud of its Alumni. Help us stay in touch!

Contact Information

* Last Name:

* First Name:

Middle Name:

Maiden Name:

* Address:

* City:

* State:

* Zip Code:

* Phone Number (include area code):

Email Address:

Personal information WILL NOT be shared with external businesses and/or organizations

Please check this box if you would NOT be interested in receiving information about Darton College including special event notices, continuing education opportunities, and/or alumni information.

If Married, Anniversary Date:

Spouse's Name:

Graduation/Transfer Information

Date of Graduation:

Darton Degree Received:

Did you attend Darton College and transfer to another institution? Yes No

If yes, where did you transfer?

Date of Graduation from transfer institution:

Degree Received:

Professional Information

Employed by:

Job Title:

Business Telephone (include area code):

Years employed by this company:

Miscellaneous

If Spouse graduated from Darton College also, please include his/her information (Graduation Date, Degree, Professional Information, Etc.):

Please list any achievements, accomplishments, honors, recognitions, involvement in civic or business clubs you would like listed (include date achieved, for example, "Received MBA from University of Georgia, 1999" or "Member of Rotary Club, 2000-2002").

List Children - first and middle name and birth year:

Please check here if you are interested in participating in the Darton College Alumni Association (I.E. Serving on the Board, serving on a committee, volunteering for events, etc.)

Authentication Code:

Responsible Department: Alumni Development
Contact: Michelle Sims (web representative)

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