Tuskegee National Alumni Asociation
Southeastern Region
Birmingham Area Tuskegee Alumni Association
P.O. Box 110671
Birmingham, AL 35211

January - December 2012
I want to establish or renew membership in the Birmingham Area Tuskegee Alumni Association and to support Tuskegee University and its students. Enclosed are my annual dues amount of $70.00, which also includes membership in the Southeastern Region and National Alumni Associations.

Personal Information

Last Name _____________________ First _________________ Int____ Maiden __________________
Address __________________________ City _____________________________Zip _____________
Home Phone __________________ Work Phone __________________ Wireless _________________
Major ___________________________ Yrs Attended or grad Yr __________ Retired (Yes/No) _______
Profession ________________________________ Email.__________________________________
TU Professional Associations _________________________________________________________

Membership Category (Check one)
____ Regular: Tuskegee University graduate or a former Tuskegee University student.
____ Associate: Relative or friend of a member or Tuskegee student. A person interested in Tuskegee.
____ Honorary: Membership conveyed by the Birmingham Area Tuskegee Alumni Association.

Committee Interest (Make selection. More than one may be selected.)

___ Program, ___ Membership, ___ Scholarship, ___ Budget and Finance
___ Publicity and Marketing, ___ Information Systems, ___Political Action, ___ Athletic
___ Student Recruitment and Retention, ___ Benevolent

Committee Descriptions
1. Program: Plans programs for the year and distributes the club calendar.
2. Membership: Plans activities related to membership recruitment and retention.
3. Scholarship: Selects recipients for the alumni association’s scholarship(s) and maintains records of scholarship recipients.
4. Budget and Finance: Submits budget.
5. Publicity and Marketing: Coordinates publicity for the club and distributes information to the media and general public.
6. Information Systems: Maintains the club’s website and disseminates information to members via a newsletter and email.
7. Political Action: Identifies and addresses political issues that affect Tuskegee University.
8. Athletic: Coordinates and plans activities in support of Tuskegee University athletic teams.
9. Student Recruitment and Retention: Recruits local students to Tuskegee University and provides programs that promote retention and mentoring.
10. Benevolent: Sends cards and/or gift items to members who are ill or have family bereavement.

Note: Make check in the amount of $70 payable to: Birmingham Area Tuskegee Alumni Association

Date: _____________________________

Meetings: Each first Sunday, 4 p.m. at Saint Mary's Catholic Church, Fairfield, AL.



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P.O. Box 10671...........................................................Birmingham, AL 35211......................................................www.bhamskegee.org