Chapter Interest Form

Thank you for your interest in Western Alumni. Please complete the form below with your contact information and your Chapter of interest.


Please indicate which chapter/group is of interest to you.

Which type of events are you interested in attending

Were you involved with any clubs or athletics while you were a student at Western?

Please tell us who you are

Do you have a preferred name?

Where can I find my alumni number?
- OR -

Email Preferences
Please note that alumni volunteers should agree to receive e-mail correspondence from Western.

Home Address






Numbers only (eg. 5195551234)

Numbers only (eg. 5195551234)

Work Address
Numbers only (eg. 5195551234)

The information provided above will be used to update your Western alumni record. Please read Western's Privacy Policy if you wish to learn about how the University protects and uses your information.