Alumni Profile Form

As part of our preparation for celebrating Miquon's 75th anniversary, we are building an alumni information database.  The information will be used only by Miquon staff and will not made available to the public without your permission (see privacy section below).

To submit your alumni profile, complete the form below, and click the submit button at the bottom of the form.  You will receive an email confirming your submission.  If you would prefer to submit your information by mail rather than online, you can use this printable form.




Basic Contact Information

* Indicates required field
* Name:
First:
Middle:
Last:

 
Name when you were at Miquon:
      (if different from above)
First:
Middle:
Last:

 
* Email:
* Confirm email:
 
Phone:
Address:
* Miquon class:


Additional Information
Birthday:
Education:
      Secondary
      High School
      College
      Postgraduate
Occupation (current and past)
Hobbies/Interests
Favorite Miquon memory:
Awards/Honors/Recognition:
Miquon alumnus or affiliate you would like to contact:
 
   


* Email Notification
Would you like to receive periodic emails about upcoming events at Miquon or receive a copy of The Miquon Newsletter via email?

No, please do not send me email notifications.
 
Yes, please send me email notifications.
 


  


 


* Privacy
Would you allow the information submitted to appear in the The Miquon Newsletter?

No, please keep my information confidential.
 
Yes, you are welcome to publish my information in The Miquon Newsletter.