Northern College of Applied Arts & Technology

	Mining Programs
	Bioleaching Certificate Mining Engineering Technician Haileybury School of Mines Overview Alumni Photo Gallery Registration Mining Program Info Apply Now
	Awards & Recognition
	OACETT conditionally recognizes Northern's Instrumentation and Mining programs as meeting academic requirements for certification

Haileybury School of Mines Alumni Registration

Alumni Information (Indicates a required field)*
First Name*:	Middle Name:
Last Name*:	Name on Diploma (Maiden Name, etc):
Address*:	City*:
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S.I.N.:	*E-mail:
*Northern Program:	*Year of Graduation:
Personal Information
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What type of participation in the Alumni Association interests you? (You can select more than one)*
Participation in Events Helping to Organize Events Recruiting Other Alumni Organizing Class Reunions	Serving as Executive Member of the Alumni Association Writing Articles for Alumni Newsletter Other
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Confidentiality 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? Yes No