Menno Simons Centre Resident Alumni Registration

Your survey has been successfully received and stored in our secure database. Thank you for taking the time to respond, we greatly appreciate your input. Any personal information submitted will be kept confidential. Your name will not be associated with the opinions or information provided by you. We may choose to publish the aggregate or statistical results of this survey

Would you be wiling to be contacted by the MSC Alumni Committee and receive MSC-related communications in the future? If so, please update your contact information with us:

First Name
 Last Name
Address
City
Province/State
Postal/Zip Code
Country
E-mail address
Home phone
Work/Cell phone
Prefer contact by

If you want to get involved, ask for information about the Pacific Centre for Discipleship Association (PCDA - a registered charity which owns and operates the MSC) in the box below:

Here's how I want
to get involved ....



PRIVACY POLICY: this survey does not require you to provide us with personally identifiable information, but if you include such information it will be securely transmitted via SSL security, safely stored in a private QuickBase database, and used only for the purpose of planning future activities.

= required fields

 

If you don't want to provide your contact information, just click the logo above to return to our home page.