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Personal + Contact Info

Personal Information




Contact Information



Emergency Contact

Indicate one person who should be contacted in case of an emergency. This person may be a parent, spouse, friend, or other individual.


Consent to Release Personal Information (Optional)

Complete this section if you would like to give another person or organization access to your personal information, including registration, attendance, and grades. This is optional.


Consent to Storing of Personal Information

Alexander College is committed to using personal information we collect in accordance with the Personal Information Protection Act (PIPA). By providing your personal information, you consent to have the College use the information solely for the purposes of providing academic and student support services.