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Alumni Association Membership Form

PERSONAL INFORMATION

* Title
* First Name
* Last Name
* Birth Date
[In case your name is the same as another alum, your birth date will help us keep our records straight.]
* Preferred Mailing Address
[If you choose "Work," provide your work address in the "Your Work" section below.]
* Home Address
* Home City
* Home State
* Home Zip
* Home Phone
Home E-mail

YOUR WORK

Business Name
Title
[Your job title, or enter "Retired" or "Currently Unemployed"]
Work Address
Work City
Work State
Work Zip
Work Phone
Work E-mail

YOUR ARC EXPERIENCE

* ARC Years
[e.g. 1980-83]
* Student ID
* Degree-Certificate
* Major
* GPA
* Transferred
[If you transferred from ARC to another college or university, enter the name here]
Comments
[Tell us your ARC story--your involvement in clubs, sports, scholarships, student leadership, favorite professors, etc.]

* Verify
[In order to prevent automated spam programs from submitting this form, you must check the box at the right before submitting.]

TO SUBMIT, CLICK THE BUTTON AT LEFT to add your name to the growing list of ARC alumni!