legacy alumni submit form

Congratulations on your accomplishment!

To celebrate the richness of SCC's century-long history of graduates, we want to recognize families whose history have contributed to ours. Any family that has had multiple family members attend SCC (or our previous institutions BJC or KCC) will be named a Blackhawk Family and recognized during this year’s commencement ceremony. In addition, you will receive a commemorative SCC Legacy Alumni pin and another one to present your legacy alumni.

Complete the form below by May 6 to be included in this year’s ceremony.

If you have more than one legacy alumni, simply submit this form for each person.

Can’t attend commencement?

That’s ok! Even if you or your legacy alumni family member don't plan to attend commencement, please complete this form. We will send your pins in the mail along with a letter of recognition.

Graduate Name (Your Name)*

First NameLast Name

Graduate Email (Your Email)*

We'll send you confirmation of info submission.

Legacy Alumni Name*

First NameLast Name

Legacy Alumni Maiden Name (if applicable)

First NameLast Name

Legacy Alumni Relationship to Graduate*

Legacy Alumni Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Legacy Alumni Email Address*

example@example.com

Legacy Alumni - College attended

Burlington Junior CollegeBurlington Community CollegeKeokuk Community CollegeSoutheastern Community College

Legacy Alumni Years of Attendance - qualifying family members must have attended SCC for a minimum of two semesters. They do not have to be a graduate.

Years of attendance (e.g. 1981-83). Approximate dates are acceptable. If family member attended multiple times, list the first known years of attendance. If unknown, simply write "unknown"

Will this legacy alumni attend your graduation ceremony?

YesNoMaybe

Information collected in this form will be used by the SCC Alumni Association to verify alumni information and to share SCC news and information.

Legacy Alumni Submission Form