Alumni Application Form

Your Details:

Mr:

Miss:

Ms:

Mrs:

Other:

Surname:

First Name(s):

Any previous name known at the college:

Address:

Postcode:

Email:

Date of Birth:

Home Tel:

Mobile Tel:

Approx last year attended:

Subject Area studied in (tick all that apply):

Access to HE:

Art:

AS/A2 Levels / GCSE's:

Beauty:

Brickwork:

Business:

Care / Early Years:

Carpentry & Joinery:

Catering:

Computing:

EFL:

Electrical:

Engineering:

Foundation:

Hairdressing:

Learning Centres:

Media:

Motor Vehicle:

Music:

Performing Arts:

Plumbing:

Real Skills / 4Real:

Skills for Life (ESOL or Basic Skills):

Sport:

Teacher Training:

Uniform Public Services:

Other(Please Specify):

Don't know:

Who is your employer?

What is their sector:

Not Employed

Agriculture:

Banking & Business Services:

Chemicals:

Construction:

Distribution & Hotels:

Education:

Engineering:

Food, Drink & Tobacco:

Health & Social Care:

Manufacturing:

Metals & Minerals:

Mining & Related:

Professional Services:

Public Admin & Defence:

Services (Other):

Textiles & Clothing:

Transport & Communication:

Utilities:

Other:

What is your job title?:

What involvement would you like with the college?:

Receive newsletters:

Invitations to special events:

Mentoring current learners:

Visiting the college to showcase what you are doing with current learners :

Speaking to current learners:

Offer work placements or work experience:

Financial contributions (see website):

Bursary / learner sponsorship / prizes:

Work shadowing for staff:

Work place visits / shadowing opportunities for learners:

Other (please specifiy):

IMPORTANT! PLEASE READ AND COMPLETE BEFORE SUBMITTING YOUR FORM:

All information provided is securely held on the College’s central database.  It is treated confidentially and with respect for the benefit of the College and its alumni members in accordance with the Data Protection Act 1998.   Data will be used for alumni activities, fundraising programmes and for the promotion of benefits and services.  The data will not be disclosed to external organisations.

If, at any time, you would like your details removing from the alumni database please contact: alumni@boston.ac.uk

How would you prefer to be contacted?:

Email

Phone

May we contact you via text message?:

Yes

SIGNED: _____________________________________

DATE: _______________________________________