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IOWA LAKES > Alumni & Foundation > Alumni & Friends > Join the Association > Membership Form

Membership

* denotes required information
Personal Information
*First Name:  
*Middle Initial:   (enter NA if not applicable)
*Last Name:  
SSN: 
Date of Birth: 
*Maiden/Birth Name:   
 
Mailing Address
*Street Address:   

*City: 

 
*State:  
*Zip:  
 
Contact Information
*Home Phone Number:   Please include area code
Work Phone Number: Please include area code
E-mail Address:
 
Other Information
Campus Attended:
Algona     Emmetsburg     Estherville     Spencer     Spirit Lake     Non-applicable
Major(s)/Program:
Diplomas/Certificates Awarded:
AA     AS     AAS     Certificate     None
Year Graduated:
Occupation:
Hobbies:
 
Iowa Lakes Alumni                 Friend of Iowa Lakes
 
Do you have some news you wish to share about your family career, an interesting story or suggestions for the Alumni and Friends Association? Please write it below:
 
I would like to make a gift of $ to join the Iowa Lakes Community College Alumni and Friends Association
 
I am interested in serving on the Iowa Lakes Alumni and Friends Association Board.
 
By submitting this form, I understand that I hereby give the Alumni & Friends Association permission to use my name and information (excluding address, social security number, date of birth and email address) to promote the association and/or college.
 

Thank you for your loyalty and support!

 
You may also print, complete and mail this form to:
Iowa Lakes Alumni & Friends Association
19 South 7th Street
Estherville, IA 51334
 
Welcome to Iowa Lakes Community College

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Campuses in Algona, Emmetsburg, Estherville, Spencer and Spirit Lake.
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Questions or comments? Please email us at info@iowalakes.edu or call (712) 362-2604 or 1-800-521-5054.
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