Alumni Application


Show your pride and support of JCJC.
Membership is open to alumni and friends alike.

Join Now!

Print this page with your browser print function and mail with your dues to:

Jones County Junior College Alumni Association
900 South Court Street
Ellisville, MS 39437


______________________________________   __________________________________
Name                                     Maiden Name

______________________________________   __________________________________
Address                                  Social Security Number

______________________________________   __________________________________
City                State      Zip       Birth Date

______________________________________   __________________________________
Telephone                                Year Graduated/Attended Jones

______________________________________   __________________________________
Email Address                            JCJC Major

______________________________________   __________________________________
Employer                                 JCJC Club, Sports, Other Memberships

______________________________________   __________________________________
Spouse's Full Name                       Year Spouse Graduated/Attended Jones

Alumni and Friends (please check the appropriate line.)
___ Annual Individual Membership - $10.00
___ Annual Joint Membership - $15.00 (husband & wife)
___ Lifetime Membership - $150.00
___ Lifetime Joint Membership - $200.00 (husband & wife)