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Membership Application

Passaic County Community College

Alumni Association


Passaic County Community College encourages you, as a graduate of PCCC, to stay connected to the College by being a member of the Alumni Association. As a member of the alumni association you will be invited to participate in alumni and other College activities. In addition, as a member of the Alumni Association you will have the privilege of taking one course (up to 4 credits) tuition free each semester when space is available.(see note below) Library privileges, including borrowing privileges, are also extended to you with your paid membership ($75.00 life time membership fee)
To become a member of the Alumni Association fill out the form below and submit it, with payment, to the Bursar. This is one membership you will not regret having with you.
Thank you for your interest in staying connected to Passaic County Community College.

 
Registration is on a space available basis only; therefore, an alumni student must register the last day of registration (otherwise known as waiver day) or they will forfeit their tuition waiver.

Passaic County Community College Alumni Association

 
Passaic County Community College encourages you, as a graduate of PCCC, to stay connected to the College by being a member of the Alumni Association. As a member of the alumni association you will be invited to participate in alumni and other College activities. In addition, as a member of the Alumni Association you will have the privilege of taking one course (up to 4 credits) tuition free each semester when space is available.(see note below) Library privileges, including borrowing privileges, are also extended to you with your paid membership ($75.00 life time membership fee)

 
To become a member of the Alumni Association fill out the form below and submit it, with payment, to the Bursar. This is one membership you will not regret having with you. Thank you for your interest in staying connected to Passaic County Community College. Registration is on a space available basis only; therefore, an alumni student must register the last day of registration (otherwise known as waiver day) or they will forfeit their tuition waiver.

 
Application for PCCC Alumni Association Membership

Membership Category *
       


First Name *
Last Name *
Student ID# or last four digits of SS# *
Birth Date
(eg. mm/dd/yyyy)
Example: March 9, 1980 is 03-09-1980
Address *
City *
State *
ZIP *
Email address *
Phone # *










FOR OFFICE USE ONLY





Cleared to Apply for Alumni Association


_________________________________________________________
       Signature                                                 mm/dd/yyyy


Year of Graduation from PCCC
Degree/Certificate Earned