Alumni Registration

Fill out the form below to register for the Middlesex Alumni Network, sign up for our mentoring program, and/or tell us your success story!

Full Name*

Last name while attending Middlesex (if different)

Phone

Cell Phone

Email address*

Date of Birth

Relationship to CT State Middlesex (formerly Middlesex Community College)

Year of Graduation (if applicable)

What was your major at Middlesex?

Did you transfer into another college/university? If so, where?

Profession/Occupation

Current Employer

Home Address 1 *

Address 2

City

State

Zip Code

Check here to subscribe to the monthly enewsletter, the MxCC Community Connector.

Would you like to participate in the student mentoring program? If so, please check all that apply:

Information Interview: Speak with a student, by phone or in person. Generally between 30 minutes to an hour, arranged at a time convenient for you.

Participation in Group Panel Discussion and/or Career Fairs--Discussion programs and information.

Share-A-Day Shadow Program: Invite current students or alumni to a day in the workplace to explore a career environment first-hand.

Other

If other, please describe:

Tell Us Your Story (optional)

Story Title

Your Story

Upload a photo to go with your story

I have read and agree to the story guidelines and privacy statement.

Story Guidelines All submissions are subject to review. MxCC reserves the right to deny submissions. MxCC reserves the right to edit text submission for grammar, punctuation, etc. MxCC reserves the right to upload photos submitted through this process to the College website, social media, and college publications. Privacy Statement: MxCC may occasionally contact you to notify you about Tell Your Story, MxCC-related news or events. You may opt-out at anytime. MxCC will share your information with the Middlesex Alumni Foundation and Middlesex Community College Foundation.

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