Please fill out the form and click submit. Required fields are marked*.
YES! I WOULD LIKE TO JOIN THE ALUMNI & FRIENDS ASSOCIATION!
Please select a membership:
2012 Graduates and Certificate holders - Free 1st year.
MSJC Student Membership - $5.
MSJC Staff Membership - $10.
Annual Membership - $15.
Lifetime Membership - $250.
PAYMENT METHOD
I will pay using PayPal.
I want to sign up for Employee Payroll deduction.
MEMBERSHIP APPLICATION QUESTIONNAIRE
*Name:
Major:
Class year:
Degree earned:
If you continued your education, at what institution(s):
Maiden name (if applicable):
Address:
City, State, Zip:
*Email address:
*Phone number:
Company name:
Other family members or friends who have attended MSJC:
Who invited you to join:
*Campus: Any/All
Message:
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