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Brock Alumni Employee Program

Celebrating alumni that work together
Do you work for a company that employs several Brock Graduates? Tell us a bit about your alumni colleagues and we’d love to send you some swag to ‘Brockify’ your work space. Your organization will also be entered into a draw for a chance to win a pizza party hosted by Brock Alumni! Please fill out the form below and we will be in touch with more details.
Host Name * Required
First Last
Brock ID (if known)
Grad Year * Required
Program
Company/Organization * Required
Job Title * Required
Employment Start Date - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Work Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Email * Required
Work Phone * Required
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Personal Email
Home Phone
Please provide the names and emails of alumni co-workers that you know of * Required
For more information please email alumni@brocku.ca
Phone
This field is for validation purposes and should be left unchanged.

We acknowledge the land on which Brock University was built is the traditional territory of the Haudenosaunee and Anishinaabe peoples, many of whom continue to live and work here today. This territory is covered by the Upper Canada Treaties and is within the land protected by the Dish with One Spoon Wampum agreement. Today this gathering place is home to many First Nations, Metis, and Inuit peoples and acknowledging reminds us that our great standard of living is directly related to the resources and friendship of Indigenous people.

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