Aviation Center Alumni Online Information Form

Aviation Center Alumni
Online Information Form

If you are an Alumni of LCC's Aviation Center, please enter the following information. An * indicates a required field.

This information will be entered into our Alumni Database and published on the Alumni page of our website. No data will be published on our website without your permission (see the checkboxes below) and all non-published data will be held confidential.

When you have finished the form, please click the Submit Data button to send us the information. If you wish to change something, go back and highlight it and change it before clicking on Submit. If you wish to submit no data, you may clear all entries by clicking on the Clear All Data button or use your browser to leave this page prior to submitting the data.

Thanks for your submission. We are looking forward to hearing from you!

Name		First *
		Middle (or Initial)
		Last *
Street		*
Street
City		*
State		*
Country (Check One)*		USA
		Other (Enter Name)

U.S. Zip Code		*
email:		*
U.S. phone:
Graduation Date:		Semester/Term *
		Year *
		Curriculum *

Present Employment:	Job Title
	Employer
FAA Ratings Held:
Comments or additional information:

Permissions (Check one of the buttons below): DO NOT PUBLISH ANYTHING!* YOU MAY PUBLISH on the website (check all below that you give us permission to use): All Name Address Email Phone Graduation: Date Curriculum Present Employment: Job Title Employer Ratings Held Comments

Aviation Program at Lansing Community College

Transportation Maintenance Technologies
West Campus, Room M103
Phone: (517) 267-6406
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Aviation Center Alumni
Online Information Form