Alumni Registration Form
First Name*   
Last Name*   
Maiden (or former names)   
Home Phone±   
Work Phone±   
Graduate of which program?    
Current Employer?    
Comments or Suggestions?   

* Required Field
± Use the following format: 2294682000

We are in the process of forming an Alumni Association at our college and we want you to be a part of the family. We have exciting things planned for the future. Please fill out the following form so that we can keep you up to date. You may also visit us on the web at

Please check to verify that your information is correct before you press the submit button. Once you submit this information you will receive a confirmation Web page and email. If you do not receive a confirmation, would like to register by phone, or would like additional information, please contact:

Mona Paulk
Wiregrass Georgia Technical College
Phone: 229-468-2102


Dr. Penelope Schmidt
Wiregrass Georgia Technical College
Phone: 229-293-6190