Update Your Alumni Information Form

Itawamba Community College is updating its alumni database.  With the new computer system, all alumni addresses were reentered.  Please take a moment to check your address and information.

Current Name:
Name Enrolled As:

Last 4 Digits of SSN:
Dates Attended IJC or ICC:
Address:
City:

State / Zip:
Telephone Number:
Degree:

Year of Graduation:
Name of Spouse:
Did Spouse Attend IJC or ICC? Yes    No

If yes, what year(s):
If Spouse Attended IJC or ICC, his/her Social Security Number:
Spouse's Degree from IJC or ICC:
Comments and Other Information: