Alumni and Former Students : College of the Mainland

Welcome Back!

We welcome alumni and former students to share with us where you have gone since your time at COM. Please provide your information by completing the form below. Your information is for internal College use only and will not be published or distributed. If you have any questions about this form, please call 409-938-1211, ext. 437.

First Name, Last Name, Date of Birth, E-mail Address, Home Address, ZIP Code and Years Attended are required. The purpose of this information is to help us correctly identify you as an alumnus or former student at COM.

You are encouraged to provide a Short Bio describing how your experience at COM contributed to where you are today.

Personal Information

Prefix

First Name

M. Initial

Last Name

Suffix

Name at Graduation (if your name has changed)

Gender

Date of Birth (MM/DD/YYYY)

Contact Information

E-mail Address

Home Phone

Cell Phone

Home Address 1

Home Address 2

City

State

ZIP Code

Preferred Contact

Current Job Title / Position

Current Company / Employer

Business Phone

College Information

Degree(s) Earned at COM

Year Graduated from COM

Years Attended

Additional Awards and Degrees

Other Colleges / Universities Attended

Other Information

Notes / Short Bio

To submit this form, please enter the characters you see in the image:
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College of the Mainland | 1200 Amburn Road | Texas City, Texas 77591 | (409) 938-1211 | (888) 258-8859

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College of the Mainland is an affirmative action, equal opportunity institution.

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Page last updated: January 20, 2010