Alumni Stories/Student Success Stories Form

Application
Which form Would you like to fill out*

Alumni Stories FormStudent Success Stories Form
Alumni Stories
Student Success Stories Form
Keep in touch and share your story!

Current and future students enjoy learning how ECC alumni are making a difference. ECC alumni are impacting their communities, from entrepreneurs to small business owners to doctors and scientists. If you are willing to share some information, we would like to learn about you and your story since graduating or transferring from ECC.

This form is also where you can provide us with your updated contact information to make sure you always know what's happening at ECC!
What is your name?*

First NameLast Name
Name while attending ECC (if applicable)

First NameLast Name
When did you graduate/or when is your estimated graduation year?*
Current personal (non-ECC) email*
example@example.com
What was your biggest takeaway from your time at ECC? *
Where are you now and what are you doing in your career and life that you are willing to share? *
Phone Number, if we have any questions
Please enter a valid phone number.
Where you live now (City and State)*
Which program did you graduate from or take the majority of your classes in*
Photo Upload

You may provide a jpeg image of yourself (optional)
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Would you like to receive the following communication from ECC and the ECC Foundation (click all that apply)

ECC Impact MagazineECC Foundation Event information/invitationsECC Foundation NewsletterECC Alumni Association information/invitationsECC Alumni Newsletter
If you would like to receive publications, event invitations or other communications from the ECC Alumni Association or ECC Marketing, please provide your current address below.
Address

Street Address

Street Address Line 2

CityState

ZIP Code
Your Name*

First NameLast Name
Your Email*
@elgin.edu emails only
Your Title or Division*
Person You Recommend*

First NameLast Name
Their Email*
example@example.com
Reason you recommend them:*
Should be Empty:

Application

Alumni Stories

Student Success Stories Form

Keep in touch and share your story!