To join our Alumni Society please add your details to the form below. Fields marked with an asterix are required.

Name

Email Address

Previous High School

Years attended DSFC, e.g. 2012-2014

Courses studies (grades are optional)

What did you do after leaving DSFC?

Current job title / status and place of employment / location

Brief career history

Please use this space to provide details of any achievements you would like to tell us about

Write a few words about your experience of being at Dereham Sixth Form College

I would be happy to return to DSFC to talk to current students I would be happy to return to DSFC to talk to current students Yes No

I am happy for DSFC to I am happy for DSFC to Use my information as part of an Alumni profile on the College website Use my information as part of an Alumni profile in the College prospectus / other College publications Use my information as part of an Alumni profile on College displays I am not happy for DSFC to use my information in any way

5 + 9 =

If you are happy for us to use your information and would like to include a current photo to accompany your Alumni Profile, please email Rachel Chavez at: rchavez@dsfc.unity-ed.uk Thank you for completing this form. All data will be treated in accordance with the Data Protection Act and will be used for College purposes only.