MCC-617 Equal Opportunity College/Affirmative Action Employer Rev. 06/18
Mitchell Alumni Association
Membership Application
Joining the Mitchell Alumni Association helps future students. The $15 membership fee supports the Alumni Association
Scholarship Fund in addition to covering the yearly administration costs of the association.
All former students (full-time and part-time, college credit and continuing education) are encouraged to join.
I would like to (check all that apply):
JOIN the Alumni Association. Dues are $15 per year (please make checks payable to Mitchell Alumni Association
and mail with this form to the Alumni Office)
REGISTER with the Alumni Office
UPDATE my information
Title Mr. Mrs. Ms. Miss
First Name ________________________________________________________________________________________________________________________
Middle _____________________________________________________________ Maiden __________________________________________________
Last _________________________________________________________________ Suffix ____________________________________________________
Graduating Class Year ____________ Years attended __________________________________
Mailing Address _________________________________________________________________________________________________________________
City ___________________________________ State _______________ Zip _________________ Email ______________________________________
Home Phone ___________________________________________________ Mobile Phone ________________________________________________
Current/Former Employer ________________________________________________________________________________________________________
Current/Former Occupation _____________________________________________________________________________________________________
Send me information about
Campus Community Art and Music Events
Small Business Seminars
Creating a Scholarship Fund
Contributing to the Endowment for Excellence
Making a bequest in my will to Mitchell
Continuing Education Classes
Personal Enrichment
Business Solutions and Services
Career Training/Retraining
Print this form and mail it to the Mitchell Alumni Office, 500 W. Broad Street. Statesville, NC 28677‐5264. If you are joining
the Alumni Association please send a check in the amount of $15 to the Alumni Office. For more information, contact
(704) 878-4362.
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