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Generation Pin Application

Each year Lakeland College's alumni office recognizes graduates whose parent(s), grandparent(s) or great grandparent(s) attended Lakeland College.

Please complete this form to apply.

First Name

Middle Name

Last Name

Birthdate (mm-dd-yyyy)

Student ID Number

Year(s) attended?

Program

Mailing Address

City

Province/State

Postal Code/ZIP Code

Email Address

Phone Number

Alumnus/Alumni Information

This form allows you to identify up to 3 alumni relationships. If you have more than 3, please fill out a second form.

Alumni relationship #1

First Name

Last Name

Maiden Name

Student ID Number

Deceased

Yes

Class Year

Program

Complete Mailing Address

Do you wish to add another alumni relationship?

Yes

If you wish to receive a response and other emails from Lakeland College, you must opt-in. You may unsubscribe at any time

Opt-in

Freedom of Information/Protection of Privacy: Lakeland College complies with the Freedom of Information and Protection of Privacy Act of Alberta. Information collected on this form is used in the normal course of college operations in accordance with this legislation. For details on how this information is used, please contact the Lakeland FOIP coordinator at FOIP@lakelandcollege.ca.

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Generation Pin Application

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