Request for Email Account Form

If you would like an email account set up for you on our Alumni server, please fill out the following form and hit the send button below (all fields marked with an asterisk are required), or print a copy and fax to Juanita Dennie, Alumni Coordinator at 613-533-6668. Or, alternatively email Mark Babcock (please include in your email the fields marked with an asterisk).

*Last Name

*Graduation Date
 *First Name

*Degree Received
*Home or Personal Email Address

Home Information
Mailing Address
City
 Province/State & Country
 Postal/Zip Code

Work Information:
Employer/Company Name
(please include dept., div., branch, group)
 Your position

Mailing Address (Please include suite, floor, bldg., etc.)
City
 Province/State
 Country
Postal/Zip Code
 Fax
 Phone
Email
 Personal Home Page Address