Rutgers African-American Alumni Alliance
(RAAA), Inc.
Membership Form
Membership Year: July – June
___ Current Graduation Class – no charge
___ Single or Associate Members $25
___ Married Alumni Members - $40
___ Life Member - $500
Please make checks payable to: Rutgers
African-American Alumni Alliance
_______New Member
_______Renewal
Send form and payment to:
Rutgers African-American
Alumni Alliance
P.O. Box 422
Piscataway, NJ 08855-0422
_______Update
Name
Mailing Address
E-mail Address
Home Phone
Work Phone
College/Degree/Major/Year
Rutgers organizations,
activities, affiliations, etc.
Additional Degrees/Schools
Area(s) of expertise
Current organizations,
activities, affiliations, etc.
Current Occupation
Place of Employment
(please indicate if you
are the business owner)
Are you in a position to hire a student intern? ____Yes
Are you in a position to hire qualified alumni? ____Yes
Would you like to become a mentor to a Rutgers student? ____Yes ____No
Is your spouse an alumnus/a of Rutgers _____Yes What is his/her name __________________________________________
(Please attach his/her membership form if joining at the married alumni membership rate.)
Volunteerism is the cornerstone of the organization. Please consider pledging 12 – 24 hours annually to aid in building a
stronger, more collaborative organization.
Building Together, Inspiring One Alumnus at a Time
For Office Use only
Initials __________ Cash ____________
Check #_______
Money Order#_______________
No Payment ______