Alumni Association Registration

First Name:

Last Name:

Email:

Birthdate:

Mailing Address:

Country

Street

City

Region

Postal Code

Phone:

Clark State Degree(s):

Year Graduated:

Other Degrees Held:

Please tell us your Clark State story. How did Clark State impact your life?

Were you involved in athletics during your time at Clark State? If so, please indicate the sports teams.

What is your favorite Clark State memory?

Please share any professional achievements, awards, or certifications you've earned.

Current Employer:

Position Held:

Yes, I give permission to store submitted data and allow Clark State to use my story in promotional materials.