Alumni Registration To register with Northern’s Alumni Association, please complete the online form. Alternatively, you can download a PDF copy of the registration form (PDF, 476 KB). First Name*Middle NameLast Name*Name on Diploma (Example: Maiden Name, etc)Birth Date* Phone Number*Email*Student Number (if you remember)AddressCity*Province/StateCountryPostal / Zip CodeWhat program/s at Northern did you complete?*What year did you graduate?*What campus did you attend?*Tell us about yourself (interests, associations) and how did you hear about the Alumni Association?What type of participation in the Alumni Association would interest you? Participating in events Helping to organize events Recruiting other Alumni Organizing class reunions Serving as an Executive Member Writing articles for a newsletter Other Are you working in a related field?*YesNoOccupation / Position*Name of CompanyWork Phone NumberConfidentiality Statement The information you have provided on this Alumni Association Registration Form will be used only for the purpose of supporting the activities of the Northern College Alumni Association and Northern College.Do you give permission to publish the above information?*YesNoAlumni Communications: Please note that after submitting your Alumni Membership Registration information, you will be taken to a confirmation page. This page will provide a link to signup in order to receive email communications with the Northern College Alumni Association in accordance to Canada's Anti-Spam Legislation (CASL).