Introduction
Thanks for your interest in the CNM Alumni Association. Please give us some of your information so we can learn a little about you.
Please take a few moments to complete your application for FREE membership in the Central New Mexico Community College Alumni Association.
Application Date *	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999
Title	Dr. Mrs. Mr. Miss
First Name *
MI
Last Name *
Home Address *
City *
State *
Zip Code *
Email Address
Phone (no dashes) *
Alternate Phone (no dashes)

Professional Information
Please tell us a little about your professional life.
Professional Information
Employer
Business/Job Title
Business Address
City
State
Zip Code
Work Phone (no dashes)

Alumni Information
Please tell us a little about your professional life.
Alumni Information
Years Attended CNM/TVI
Begin year *	2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969
End Year *	2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969
I didn’t graduate from CNM, but count me in anyway!	Yes No
School/Dept *	Applied Technologies Business & Information Technology Communication, Humanities & Social Sciences Educational & Career Advancement Health, Wellness & Public Safety Mathematics, Science & Engineering
Program of Study *	Accounting Aerospace Technology Air Conditioning, Heating, Refrigeration Airframe Maintenance Technology Architectural/Engineering Drafting Technology Automotive Technology Aviation Technology Aviation Maintenance Technology Baking Biotechnology Bookkeeping Business Administration Business Graphics Carpentry Child, Youth and Family Development Clinical Laboratory Assistant Computer Information Systems Computing Technology Construction Management Technology Cosmetology Court Reporting Criminal Justice Culinary Arts Dental Assistant Diagnostic Medical Sonography Diesel Equipment Technology Electrical Trades Electronics Technology Elementary Education EMT/Paramedic Engineering Engineering Design Technology Environmental Safety and Health Film Crew Technician Financial Services Fine Arts Fire Science Fitness Technician Food Service Management General Studies Transfer Geographic Information Technology Geomatics Technology Health Information Technology Health Unit Coordinator Hospitality and Tourism Integrated Studies Judicial Studies Landscaping Liberal Arts Machine Tool Technology Manufacturing Technology Mechanical Technology Medical Coding Medical Laboratory Technician Medical Office Assistant Metals Technology Nursing Nursing Assistant/Home Health Attendant Office Assistant Office Technology Paralegal Studies Pharmacy Technician Phlebotomy Photonics Technology Plumbing Powerplant Maintenance Technology Practical Nursing Pre-Management Professional Cooking Professional Pilot and Flight Instruction Project Management Radiologic Technology Residential Wiring Respiratory Therapy Surgical Technology Technology Management and Training Truck Driving Veterinary Technology Welding OTHER
If other, please enter program.
Diplomas/Certificate Awarded *	AA AS AAS GED Certificate
Are you a CNM employee?	Yes No
Additional Education, Degree(s), or School(s) attended:

Final Information
Please tell us a little about your professional life.
Tell us what's been going on in your life since you attended TVI/CNM. (optional):
How did you hear about the CNM Alumni Association? *	Mailing Friend/Family Newspaper Internet Other