LLCC ALUMNI REGISTRATION
Tell us about yourself
First Name*:
Middle Initial:
Last Name*:
Maiden Name:
Street Address*:
City*:
State*:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachussetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip*:
Telephone:
Email*:
* indicates a required field.
LLCC Experience
Years attended LLCC?
Start Year
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
to
End Year
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Start Year
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
to
End Year
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Did you graduate?
Yes
No
If yes, what year?
Year
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Certificate or degree:
Life After LLCC
Current Occupation(s):
Additional Education or Degrees Earned:
School(s) attended:
Tell us about your LLCC experience:
Any other comments:
Volunteering at LLCC
Would you be interesting in becoming active with LLCC? Please check all that apply.
Work as a volunteer at LLCC events.
Yes
No
Attend LLCC social events.
Yes
No
Share your LLCC experience with students and/or friends of LLCC.
Yes
No
Serve as a member of the Alumni Services Advisory Committee.
Yes
No
Lincoln Land Community College | 5250 Shepherd Road, P.O. Box 19256 | Springfield, Illinois 62794-9256
217.786.2200 | 1.800.727.4161 | 217.786.2879 TDD