First Name:
Middle Name:
Family Name:
Maiden Name (if applicable):
Date of Birth:
Gender:
Primary Email Address:
Primary Phone Number:
Street Address:
City/Town/Suburb:
State/Province:
Postal/Zip Code:
Country:
Student ID Number (if known):
Year of Graduation:
Degree/Qualification Obtained:
Major/Field of Study:
Department/Faculty:
Campus/Location (if multiple):
Other Activities: (e.g., Sports teams, Clubs, Societies)
Employment Status:
Employed
Self-Employed
Seeking Opportunity
Retired
Student
Current Job Title:
Current Employer/Organization:
Industry:
Work Email:
LinkedIn Profile URL:
How would you like to be involved? (Select all that apply)
Mentoring current students
Guest speaking/Lecturing
Organizing class reunions
Providing internship opportunities for students
Contributing to the Alumni Newsletter
Frequency:
Monthly
Quarterly
Annual Summary
Only for major events
Preferred Channel:
Post/Mail
SMS/Text
Privacy Statement: The information collected in this form will be used solely for the purpose of maintaining an accurate alumni database, providing you with institutional updates, and facilitating networking opportunities. We do not sell your data to third parties.
I consent to the storage and processing of my personal data for the purposes stated above.
I consent to my professional details (Name, Job Title, Industry) being visible to other registered alumni in the secure directory.
Signature:
Form Template Insights
Please remove this form template insights section before publishing.
The primary goal of any alumni form is to "handshake" with old records.
This section shifts the form from a "request for information" to a "networking opportunity."
The Engagement & Preferences section is designed to move the alum from a passive observer to an active contributor.
This table shows how the collected data translates into real-world institutional actions:
Information Category | Institutional Outcome | |
|---|---|---|
Academic History | Organizes targeted "Class of Year X" reunions. | |
Professional Profile | Identifies potential keynote speakers and industry mentors. | |
Residential Address | Creates "Regional Chapters" for local networking events. | |
Privacy Consent | Ensures the institution remains compliant with international data laws. |
Mandatory Questions Recommendation
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