Title First Name* Middle Initial Last Name*

Nickname Maiden Name

Social Security Number (optional) Date of Birth

Years Attended GC: From To   

Degree/Major/Course of Study at GC: 

Current Mailing Address* City* State* Zip Code*

Home Phone Email Address*

Spouses Name

Do you wish that your email address be published in our Alumni Directory?

Other Colleges/Universities Attended and Degrees if applicable.

Employer Position/Title Office Phone

Company Address City State Zip Code

Please let us know if you are willing to visit with current/former students about their career interests.

I am interested in contributing to the scholarship program.

Tell us more about yourself. (marital status, children, career, travels, major accomplishments)

Help us identify prospective GC Students.

I am interested in hosting a "College Night" at my local high school.

Help us find "Lost Alumni". (please provide names and addresses of other former students)