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Contact me to see if we have one!


Questions?

Please Contact Kim Cole at:

kcole@nwktc.edu

or 785-890-7630 or 1-800-316-4127


Kim can also be contacted by mail at:

Kim Cole
Northwest Kansas Technical College
P.O. Box 668
Goodland, KS 67735

Alumni Update Form

Contact Information
(*fields with an asterisk are required)
 
Date*
First Name*   MI   
Last Name*  
Maiden Name  
Program*   Grad. Year*  
Birth Date (mm/dd/yyyy)*  
Home Address*  
City*   State*  
Zip Code*  
Home Phone *   Cell Phone   
Home Email   

Employment Information

Employer*  
Occupation/Title:*  
Business Address*  
City*   State*  
Zip Code*  
Business Phone   
Business Email   

Spouse & Family Information

First Name   MI  
Last Name  
Maiden Name  
Birth Date (mm/dd/yyyy)  
Child Name   Child Name  
Child Name   Child Name  

Recieve Newsletter by    Email   Mail
  I would be interested in participating on Alumni Committee & in Activities
  I give you permission to give out my information to my classmates.
  Please DO NOT give my information out.
  I would be interested in serving on Advisory Board or committees with in the program I graduated from.

Comments:

Copyright ©2001-2008

  Northwest Kansas Technical College
1209 Harrison PO Box 668, Goodland KS 67735
1-800-316-4127
Contact us with any questions, comments, or suggestions.

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