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Alumni Association Membership Form 

To be considered an alumni, you must have been enrolled in at least one credit course with ASU-Beebe. We encourage all of our alumni to stay in touch with the University by completing the form below.

ABOUT YOU
Your full name:
Your maiden/former name:
Year(s) Attended
Did you receive a degree
from ASU-Beebe?		 Yes      No
If yes, which one?
If you attended another college/university after ASU-Beebe, where did you go?
College/University Attended:
Graduation Year:
Major:
Address:
City:
State:
Zip:
Phone:
Fax:
E-Mail:

FAMILY INFORMATION

Is your spouse/partner an ASU-Beebe Alumni?
Yes      No
If yes, complete the following.
Spouse/partner full name:
Spouse/partner maiden/former name:
Year(s) Attended
Did you receive a degree
from ASU-Beebe?		 Yes      No
If yes, which one?

If your spouse/partner attended another college/university after ASU-Beebe, where did he or she go?
College/University Attended:
Graduation Year:
Major:

If you have children, use the space below to provide us with their names and birthdates.

PROFESSIONAL INFORMATION
Employer:
Occupation:
Phone:
Fax:
E-Mail:

ALUMNI ASSOCIATION 
Are you interested in joining the Alumni Association? Yes      No
May we contact you about events and association news by e-mail? Yes      No
What kind of events/activities would you like the Alumni Association to sponsor?
(check all of interest)
Athletic outings (ASU-Jonesboro athletics)
Workshops/personal development seminars
Picnics/dinners
Homecomings
Children's activities at ASU-Beebe
Student/alumni interaction
Fundraising for ASU-Beebe scholarships

ADDITIONAL INFORMATION

Use the space below to provide us with any additional information you would like to share such as any awards and recognitions you have received.


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