BORICUA COLLEGE
ALUMINI ASSOCIATION
MEMBERSHIP CARD
Last Name:
First Name:
Address:
City:
State:
Zip Code:
Home phone:
Work phone:
Date of Graduation:
Major:
Degree:
A.A.
B.S.
B.A.
M.S.
M.A.
-
Email Address:
Professional Title/Career (optional):
Describe furter academic and/or professional achievements: