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Regular Membership dues are $15.00 and Senior Membership dues are $10.00 Please print this application and send with your check payable to: |
SCS Alumni Association P.O. Box 2186 Sidney, NY 13838 |
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( ) Check here if you are renewing your membership. Make any changes to the information that has changed since your original application. Otherwise, it is only necessary to indicate your name and any comments. The membership year is (July 31 to July 31) ( ) Check here if you would like to be added to the Web Page Directory Date: _______________ |
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Name:___________________________________ Street:__________________________________ City:___________________________________ Home Phone:______________________________ Maiden Name:______________________________ Are you or were you a SCS faculty member?____ Subjects Taught:__________________________ _______________________________________ Years:____________________ |
Nick Name: _______________________________ State:_______________ ZIP: ______________ E-Mail:________________________________ Spouse's Name:__________________________ Did you attend SCS? ______________ Class Year:________________________ Vocation:______________________________ _______________________________________ Are you retired?__________________ |
| Briefly tell us about you and your Family: | |
| Would you be willing to serve on a committee? | |
| Areas of particular interest? | |
| Suggestions for the Association: | |
| Additional Donation (please designate, i.e. Website Fund): | |