Honor Roll - Alumni & Friends Information

In addition to alumni of the College, this list includes friends of the College.  The information you give us will become part of our new computer system when you enter the data.  Including your maiden name, if married, the calendar years you attended the College, and your social security number will aid us in keeping you informed about College activities.

Please fill out the following form and submit it by clicking on the appropriate button below.  To submit this  information through traditional mailing methods, simply print this frame and mail the form with the completed information to:

Development and Alumni Office, East Central Community College, P.O. Box 129,  Decatur, MS 39327

Honor Roll Data Submission Form

Name:     Maiden:

Social Security #

Street or P.O. Box:    Home Phone:

City:    State:    Zip: Work Phone:

E-mail:       Fax:

Calendar Years at EC?      Year Graduated:

Honors, Awards / Affiliations:          Degree(s) / Education:

        

High School Attended:

Name of Spouse:     Social Security #

Did spouse attend EC?  Yes      No

Years Spouse Attended:

Spouse's Honors, Awards / Affiliations:           Degree(s) / Education:

                          

Spouse High School Attended:

Your Occupation:

Spouse's Occupation:

Do either of you work for a matching gift company?   Yes      No

Company Address:

Street or P.O. Box:

City:  State:  Zip:

Do you have children?   Yes      No

Child's Name:        Age:

Do your children attend EC?  Yes      No

Child's Name at EC                               When:

            

            

            

Are you an Alumni Association Member?      Are you a Warrior Club Member?

Yes      No                                            Yes      No

Type of Alumni Association Membership:       Do you receive Warrior Magazine?

Annual:                                                        Yes      No

Lifetime: 

Joint Lifetime:

Are you a contributor to the college?            

Yes      No

Type of Donation:

Would you like more information about ways

to make tax-deductible gifts to East Central

Community College?

Yes      No

Would you like more information about involving East Central Community College in wills/estates?

Yes      No