JSU Memphis Alumni Chapter Membership Application
Membership Application Type:
*
New
Renewal
If this is a NEW application and you were referred by a current chapter member, please list their name.
If you're joining after an event, please name the event
Member Information
Has any of your contact information changed in the last year?
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Name
*
First Name
Middle Initial
Last Name
Suffix
JNumber (If Known) (Ex. J0012345)
Maiden Name During Enrollment (Female Only)
*
Preferred E-mail
*
Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
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Arizona
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District of Columbia
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Maine
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Michigan
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New York
North Carolina
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Ohio
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Pennsylvania
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South Carolina
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Tennessee
Texas
Utah
Vermont
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Washington
West Virginia
Wisconsin
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State
Zip Code
Birthday (MM/DD)
*
Cellular Number
*
-
Area Code
Phone Number
Home Number
-
Area Code
Phone Number
Education Information
Graduation Year(s)
*
Degree Earned (Ex. B.S., B.A.)
*
Major
*
Advanced Degree(s) & Year(s) earned from JSU or any other institution.
Employment Information
This information will not be shared publicly. It will only be used if members inquire about employment in certain areas.
If you are RETIRED, please click here:
I'm currently RETIRED
Employer
*
Career Field (Accounting, Education, etc.)
*
Job Title
*
Committee Interest
The Memphis Chapter has many opportunities for you to serve and assist with the accomplishment of the chapter’s mission, vision, and goals. Review the committees below and let us know how you would like to serve!
Committee Interest (Optional)
Audit
Community Service
Courtesy
Constitution and Bylaws
Fundraising
Membership
Policy and Procedures
Scholarship
Social Media
Student Recruitment and Success
Website
Please select your Membership Dues Category:
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LIFE Member (Local dues only)
$
53.35
($51.00 - Local dues, $1.00 - Foundation donation, $2.35 - Processing Fees) *Select this option ONLY if you are a JSUNAA Life member)
REGULAR OR ASSOCIATE Member (National & Local Dues)
$
105.16
($50 - National dues, $50 - Local dues, $1 - Foundation donation, $4.16 - Processing fees)
Total
$
0.00
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