School of Allied Health Sciences Alumni Association

Enroll now, and we will bill you for your dues.

Membership Levels:
Dues
Select
Lifetime Membership $500.00
Annual Membership $25.00
School of Allied Health Sciences - School of Graduate Studies Joint Annual Membership $40.00
Lifetime Associate Membership (Faculty, staff, & friends of MCG) $500.00
Annual Associate Membership (Faculty, staff, & friends of MCG) $25.00
Please complete all requested information in this section:
Name as you would like it to appear for recognition purposes (e.g. Dr. & Mrs. John L. Smith)
Name (First Name, Middle Initial, Last Name, Suffix)
Name at Graduation (full name If different)
Highest Degree Earned
Graduation Year (4 digit year please)
Profession / Specialty
Date of Birth (dd/mm/yyyy)
Additional Information:
Spouse Name
Spouse's Date of Birth
Spouse's Profession / Specialty
Children's Names and Ages
Home Address
State, Zip  
Home Phone
Home Email
Business Name (Practice / Clinic / Institution)
Business Address
City
State, Zip  
Business Phone
Business Email

If you have questions about membership levels, or Alumni Association details, please call 800-869-1113 or 706-721-3430.