Tuskegee University National Nursing Alumni Association (TUNNAA) Membership Form
The Tuskegee University National Nursing Alumni Association (TUNNAA) annual membership dues are due starting July 1st of each year and are to be paid by October 1st. Please complete this form, submit it with your dues, and consider making a generous donation to TUNNAA, a 501(c)(3) organization. All donations are tax-deductible and support the Tuskegee Department of Nursing and currently enrolled nursing students.
Name
First Name and Maiden
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number (preferred)
Please enter a valid phone number.
Format: (000) 000-0000.
Home Number (if applicable)
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Graduation Year
Are you an Eminent Associate?
Yes
No
Dues:
$50 (if you paid TNAA dues via online or local alumni club)
$85 (if you have NOT paid TNAA dues via online or local alumni club)
TNAA dues paid via online
TNAA dues paid local alumni club
Your Local Alumni Club Name
Donation Amount for TUNNAA Scholarship Fund - Student Financial Support
Donation Amount for Teaching/Learning - Equipment and Materials to support quality training of TU Nursing Students and School of Nursing Maintenance Initiative
Total Amount (Dues and Donations)
Payment Methods
Zelle - TUNNAAFinance@gmail.com
Check - TUNNAA P.O. Box 601, Fairfield, Alabama 35064
Additional Information:
Degree(s) obtained beyond BSN:
MSN
DNP
PhD
Other
Primary Work Setting:
Hospital
Clinic
Private Practice
School Nurse
Military
Academic (Teaching)
Retired
Consultant
If teaching, in what setting are you? ADN Program, BSN, MSN, Other
Do you have any special skills, nursing specialty (expertise) or interests you would like to contribute as a member that might benefit Tuskegee School of Nursing, Nursing Students and/or TUNNAA?
Date
-
Month
-
Day
Year
Date
Submit
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