Graduate Update Form

We would be interested in knowing a little more about you. We will use this information to inform you about any events, news, or developments. Please take a few moments to complete this Graduate Update Form – Your information is greatly appreciated.

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip: *

Mailing Address:

City:

State:

Zip:

Home Phone Number:

Cell Phone Number:

Fax:

E-mail: *

Date of Birth: *

Graduate Date:

Course Completed:

Title of Degree:

Currently Employed at:

If Applicable

Job Title:

If Applicable

Employement Address :

If Applicable

City:

State:

Zip:

Work Phone:

Fax:

If Unemployed have you ever worked in your field of study?:

Would you be interested in online courses at Western Technical College?:

What type of online courses would you be interested in?:

IT Skills Courseware

Desktop Skills Courseware

Business Skills Courseware

Certification Series Courseware

Spanish Courseware

Academic Certification & Continuing Education (ACE Credit)

Continuing Education Credits