Website Testimonial Submission

Website Testimonial Submission
Full Legal Name

First NameLast Name
Email
Please enter a valid phone number.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Program
Year of Attendance
Do you wish to remain anonymous?
Are you a Current Student or Alumni?

Testimonial Content
Please type your testimonial here.

By submitting this testimonial, you permit Tom P. Haney Technical College to use your quote and likeness on www.haney.edu and in other promotional materials. If you prefer to keep your student status private, please choose to submit anonymously.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Should be Empty: