Alumni Form

Full Name: *

Email Address: * Verify Email

Enter OTP: Verify OTP

Phone Number: *

Completion Year: Select Year

Program Completed: * Select your program Nursing Midwifery DNE DME

Further Studies (Optional):

Skills Gained at Rugarama (Optional):

Occupation: *

Current Employer: * Select your current employer Hospital Pharmacy Health Center Clinic Drug Shop NGO Self Other

City: *

Country: *

Professional Achievements (Optional):

Would you like to join the alumni association? * Select an option Yes No

Are you interested in mentorship opportunities? * Select an option Yes No

Would you like to be informed about events and updates? * Select an option Yes No

Suggestions for School Improvement (Optional):

Memorable Experience at Rugarama (Optional):