Alumni Card Request Form

Take advantage of your status as a Western alumna or alumnus and request your free Western Alumni Card today!

PLEASE NOTE: Due to the ongoing COVID-19 situation, alumni cards will not be mailed until staff are once again working back on campus. If you need proof of alumni status in the interim, please send an email to alumni@uwo.ca.

*First name:
*Current last name:
*Last name at the time of graduation:
Student number (optional, 9 digits):	[My student number is less than 9 digits. What do I do?]
*Degree:
*Year of graduation:
*Email:
Phone number:
Phone type:

Mailing Address - please provide the address to which your Western Alumni Card should be mailed.
*Street 1:
Street 2 (Apt or Unit #):
*City:
*Prov/State:	Enter your province\state\region below
*Country/Region:
Postal/ZIP code:
Reset

* indicates required field

Western University, Department of Alumni Relations & Development
Westminster Hall, Suite 160
London, Ontario, Canada, N6A 3K7
Tel: 519-661-2199
Toll-free: 1-800-258-6896
alumni@uwo.ca