Alumni Registration Form

60+ YEARS OF EDUCATION AND ENRICHMENT

Whether you are a recent graduate, or one of our distinguished alumni, SJR State is glad to be a part of your academic and
professional success ‐ a tradition we strive to continue with our future students.

In an effort to enhance our Alumni database, the SJR State Foundation Office would appreciate hearing more about you and
your accomplishments.

Whether your collegiate journey began among the majestic oaks on the original Palatka Campus, or more recently on our
beautiful St. Augustine and Orange Park campuses, we'd love to hear from you!

Our success and growth is due to YOU, our graduates. We ask you to help us continue this tradition of growth and
enrichment and fill out the Alumni Registration Form below.

Prefix

First Name

Last Name

Maiden Name

Address

City

State

Zip Code

Phone

Email Address

SJR State Graduation Year

Campus

Level Of Education

Are You Working In The Field You Studied?

Are You Working In The Field You Studied? YesNo

What Sports and/or Activities did you participate in while at SJR State?

What is your occupation?

Where did you continue your education?

Are you interested in joining an Alumni committee?

Comments

Date Submitted

26-APR-24

Buttons Region

Welcome SJR State Alumni!

Alumni Registration Form