Alumni Membership Form

Alumni Membership Form
Title:
First Name
Last Name
Maiden Name:
Gender:
Address 1:
Address 2:
City:
State:
Zip:
Home Phone Number:
Cell Number:
Primary E-mail
Class Year:
Degree:
Major:
Minor:
Degree 2:
Major 2:
Company Name (If unemployed, please use "N/A"):
Business Address:
Job Title (If unemployed, please use "N/A"):
Business Address 2:
Business City:
Business State:
Business Zip:
Business Phone:
What's new with you?

Lori A. Walker ’98, ’00, Director of Alumni Relations
Felician College Alumni Office
One Felician Way, Rutherford, NJ 07070
Telephone: 201.355.1427 • Facsimile: 201.355.1439 • E-mail: walkerl@felician.edu