Alumni Association Contact Form

What is your relationship to Mid Michigan College? Check all that apply.*

Former StudentCurrent StudentFormer Staff/Faculty MemberCurrent Staff/Faculty Member

Enter the year you last attended or were employed by Mid.*

Enter the name of the credential (associate degree, training credential, or certificate) or course name you completed.*

Name*

First NameMiddle NameLast Name

Maiden Name

Email*

Phone Number*

Area CodePhone Number

Select the type of phone number you provided above.*

CellHomeWorkOther

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Select your preferred contact method(s). Check all that apply.*

EmailPhoneTextPostal Mail

Current Employer*

Job Title*

Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact the Mid Michigan College Foundation at (989) 386-6600 or foundation@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.

Connect with Mid's Alumni Association Today!