Generation Pin Application

Convocation

Please don't fill out this input box.

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*if none, please put N/A

Last Name*

Birthdate*

Student ID Number*

Year(s) you attended Lakeland College?*

Program*What program are you graduating from?

Please fill in your complete postal mailing address.

Street Address, Postal Box or Rural Route*

Town, City, Municipality*

Province or State*

Postal Code or ZIP Code*

Country*

Email Address*

Phone Number*

This next section is about your alumni connection(s). You'll start by choosing their relationship with you. Then you fill in information about each of those people.

This form allows you to identify up to 3 alumni relationships. If you have more than 3 alumni connections, please fill in a second form or contact us at alumni@lakelandcollege.ca

Alumni 1 - First Name*

Alumni 1 - Middle name or initial

Alumni 1 - Last Name*

Alumni relationship*Please select all relationships that you have.

Alumni 1- Maiden nameif applicable

Alumni 1 - Class Year*

Alumni 1 - Program*

Alumni 1 - Student Numberif available

Alumni 1 - Is the person living or deceased?*

Living

Deceased

Alumni 1 - Mailing Addressif deceased please enter n/a

Alumni 2 - First Name

Alumni 2 - Middle Name or initial

Alumni 2 - Last name

Alumni 2 - Alumni relationship

Alumni 2 - Maiden Nameif applicable

Alumni 2 - Class Year

Alumni 2 - Program

Alumni 2 - student number

Alumni 2 - Is this person living or deceased?

Living

Deceased

Alumni 2 - Mailing addressif the person is deceased, please use n/a

Alumni 3 - First Name

Alumni 3 - Middle name or initial

Alumni 3 - Last Name

Alumni 3 - Relationship

Alumni 3 - Maiden nameif applicable

Alumni 3 - Class year

Alumni 3 - Program

Alumni 3 - Student Numberif available

Alumni 3 - Is this person living or deceased?

Living

Deceased

Alumni 3 - Mailing address

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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.