Alumni

Durham Tech Alumni Association

Membership Card

All Durham Tech alumni may obtain a FREE Alumni Association Membership Card. To request your free membership card, please fill out the following form. Your card will be mailed to you within four weeks.

*required information

Prefix*	First Name*	MI	Last Name*	Suffix

Name while attending DTCC (if different)			Preferred Name/Nickname

Contact Information :
Address Line 1*
Address Line 2
City*		State*	Zip*
Home Phone		Cell Phone
Email Address*

Business Address :
Company		Job Title
Address Line 1
Address Line 2
City		State	Zip
Business Phone
Email Address

What years did you attend DTCC? (e.g. 2004-06)

Did you graduate from DTCC?			Yes No
Check all that apply:
Degree		Degree Name
Certificate		Certificate Name
Curriculum Course Work		Noncredit Continuing Education
Adult High School		GED
ESL

Durham Technical Community College

Durham Tech Alumni Association

Membership Card