HENRY C. CONRAD ALUMNI REGISTRATION FORM
(View Our Security Policy)
First Name:                             Middle Name/Initial:                 Last Name:                             Maiden Name:
     

Address 1:
Address 2:
City:                                         State:      Zip:
,     
Graduation Year:
Phone:

E-mail Address:                               

Your permission to publish and/or transmit your Name, Graduation Year and E-mail address
on this Web Site (Y or N):

       Please check all information before clicking 'Submit Form'

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Henry C. Conrad Alumni Association Security Policy:

We will take every effort to secure your personal information gathered as a result of your registration.  We will not lend, give or sell your personal information to any company or individual.  With the exception of your name, graduation year and e-mail address (unless permission is declined), all information gathered will be for the strict use of the Henry C. Conrad Alumni Association and representatives of the Henry C. Conrad Schools of Science during their participation of joint functions.  The purpose for requesting permission to post your name, graduation year and E-mail address provides for making contact with fellow Alumni.

Advance notice will be provided to you prior to any modifications or changes to this policy.

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Revised: August 26, 2009