Membership Form
Please Print Neatly
Name: _________________________________________________________
Program of Study: ________________________________________________
Campus: ___________________________ Phone #: ____________________
Academic Advisor: _______________________________________________
Shirt Size: S M L XL XXL XXXL Tall
SCTC Email Address: _____________________________________________
All SkillsUSA members are required to activate and monitor their SCTC
student email account for email communications from advisors.
Membership Dues - $15
(Pay at the Business Office)
Received By: ___________________________ Date: ________________
For more information about the SkillsUSA organization contact one of the advisors:
Diana Kendrick Mike Howard Deanne Allen
Griffin Campus Griffin Campus Flint River Campus
Medical Assisting Drafting Cosmetology
Room 215/Bldg 900 Room 204/Main Bldg Room 114/Bldg B
770-233-5498 770-467-6049 706-646-6189
dkendrick@sctech.edu mhoward@sctech.edu dallen@sctech.edu
(Business OfficePlease return to Deanne Allen on the Flint River campus or Diana Kendrick on the
Griffin campus)
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