Please print this application form and mail to:
Jamestown Community College Alumni Association Cattaraugus County Campus
260 North Union Street
Olean, NY 14760
NAME
ADDRESS
CITY
STATE
ZIP CODE
EMAIL ADDRESS
SOCIAL SECURITY NUMBER
BIRTHDATE
TELEPHONE NUMBER
YEAR OF GRADUATION FROM JCC
DEGREE RECEIVED
OCCUPATION
EMPLOYER
TODAY'S DATE
Annual Membership @$20$________
Donation to the Alumni Fund $________
Total: $________
I prefer to receive the Campus Voice newsletter via ____ email or ____ regular postal mail.
MAKE CHECKS PAYABLE TO JCC ALUMNI ASSOCIATION.
Questions? Please contact us: by phone: (716) 338-1000, ext. 2417 by e-mail:alumni@mail.sunyjcc.edu
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