Scribd Logo
Upload

Welcome to Scribd!

  • Alumni Membership Form Upload

    Uploaded by

    api-314327390
    23 views2 pages
    The document is a membership form for the Conemaugh Valley Memorial Hospital School of Nursing Alumni Association. It requests contact information from potential members such as name, address, phone number and email. It also asks for highest degree earned, current certifications, year of graduation, specialty area and interest in a future alumni office. There is a $10 membership fee and option to make a scholarship donation in memory of someone. The form provides information on how to submit the form and payment via email or mail.

    Original Description:

    Original Title

    alumni membership form upload

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document is a membership form for the Conemaugh Valley Memorial Hospital School of Nursing Alumni Association. It requests contact information from potential members such as name, address, phone number and email. It also asks for highest degree earned, current certifications, year of graduation, specialty area and interest in a future alumni office. There is a $10 membership fee and option to make a scholarship donation in memory of someone. The form provides information on how to submit the form and payment via email or mail.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    23 views2 pages

    Alumni Membership Form Upload

    Uploaded by

    api-314327390
    The document is a membership form for the Conemaugh Valley Memorial Hospital School of Nursing Alumni Association. It requests contact information from potential members such as name, address, phone number and email. It also asks for highest degree earned, current certifications, year of graduation, specialty area and interest in a future alumni office. There is a $10 membership fee and option to make a scholarship donation in memory of someone. The form provides information on how to submit the form and payment via email or mail.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Conemaugh Valley Memorial Hospital

    School of Nursing Alumni Association


    Membership Form

    Please complete the following information and return via email


    CSONAlumni@gmail.com or US mail Conemaugh School of Nursing Alumni
    Association, 1086 Franklin St., Johnstown, PA 15905. Please make check or money
    order payable to Conemaugh School of Nursing Alumni Association. If you are
    emailing your form, please follow the PayPal link on our website
    http://csonalumni.weebly.com to provide your membership dues or scholarship
    donation. Membership will be processed once membership form and payment are
    received.
    Name:______________________________________________________________________________
    __
    Address:____________________________________________________________________________
    __
    Phone number: ________________________

    Email

    address:__________________________________
    Highest degree of education:______________

    Current

    certifications:____________________________
    Class of:______________________________ Specialty
    Area:_________________________________
    Would you be interested running for an Alumni Office next year?
    _______________________________

    Membership Fee $10

    Scholarship donation in memory

    of:__________________________________________________________________________________
    _
    We will be providing updates about future events, meetings, and donation
    opportunities through our Facebook page and http://csonalumni.weebly.com site.
    Thank you for your continued dedication to providing for the students of the
    Conemaugh School of Nursing.
    *****Dont forget to like us on Facebook and share our page
    http://www.facebook.com/csonalumni

    You might also like