TJC Alumni Association Membership Application

TJC Alumni Association

Membership Application
Thank you for your interest in joining the TJC Alumni Association. By becoming a member, you'll enjoy exclusive benefits, stay updated on campus and alumni events, and have the chance to contribute to the ongoing success of our alma mater and support current students. We look forward to connecting with you soon.

Please complete the application below.
Applicant: Full Name*

First NameLast Name
Date of Birth:*

MonthDayYear
Date
Were you a member of a student organization?*

YesNo
If you marked Yes, please choose from the following:

BandBellesBlack Student AssociationCheerDental HygieneLas MasLetterman (Athletics)NursingSurveying & GeomaticsOther

Which membership level are you interested in?*

Lifetime Gold INDIVIDUALINDIVIDUAL Membership: Loyal Benefits + a physical membership card, Free admission to homecoming events, Free admission to all home athletics games, Tickets to most TJC theatre/musical productions, Exclusive lapel pin, Monthly Digest, Option to join affinity group, Option to donate a portion of dues to campus interest group, Exclusive invites and E-news to your specific affinity group

$200.00

Lifetime Gold COUPLECOUPLES Membership for you and your significant other

$300.00

TJC LoyalAnnual Membership: Proud Benefits + 10% discount to campus bookstore, Dependents eligible to apply for alumni scholarships, Discounted entry to alumni events

$50.00

TJC ProudIncludes digital membership card, "Teepee Times" monthly digest, Special invites to campus events, Access to Vaughn Library

$ Free

Enter coupon

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

The Lifetime Gold membership level has the option to join an affinity group and donate 1/2 of your dues to a student program. Which affinity group would you like to join?

BandBellesCheerDental HygieneLas MasLetterman (Athletics)NursingSurveying & GeomaticsNot at this timeOther
If you selected the Lifetime Gold membership and "Letterman (Athletics)," which athletic student program would you like to donate 1/2 of your dues to?
Your name while at TJC:
What dates did you attend TJC:*
If you are not an alum, type N/A
Spouse Full Name (if applicable):

First NameLast Name
Spouse years at TJC (if applicable):
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Non-TJC Email*
How did you hear about us?

FriendEventWebsiteSocial MediaOther
Should be Empty: