Nursing Alumni | Department of Nursing | Southern Arkansas University

Alumni information update/application form

This form is for nursing alumni to update their contact information, and to apply for an SAU Nursing Alumni Association membership.

Name*
First Last
If different, your name when you attended SAU
First Last
Birth date
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home phone number
Work phone number
Fax number
Spouse's name
Nursing degree*
Graduation year*
Employer/ Department
Position/ Title
Employer's street address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Professional and educational achievements
Additional Degrees (university, degree, year):
Family and Personal Accomplishments:
Are you a nursing alumni association member?*
- Yes
- No
Would you like to apply for a nursing alumni membership?
- Yes
- No
The SAU Nursing Alumni Association is an umbrella chapter of the SAU Alumni Association. In order to be a member of the SAU Nursing Alumni Association, you must also apply (if not already a member) for the SAU Alumni Assocation. Are you currently a member of the SAU Alumni Association?
- Yes
- No
Because the Nursing Alumni Association is an umbrella organization of the SAU Alumni Association, if you are not already a member of the SAU Alumni Association, then you must apply for both memberships.

The total dues are $35.00, with $25.00 going towards the SAU Alumni Association, and $10.00 for the Nursing Alumni Association.

Membership for the SAU Alumni Association can be obtained by completing the membership form [pdf] and mailing with check payment to:

P.O. Box 9416
Magnolia, AR
71754-9416

Checks should be made payable to SAU Alumni Association.
In order to complete your application for the SAU Nursing Alumni Association, you must send payment for the membership dues.

Since you are already an SAU Alumni Association member, the additional dues for the Nursing Alumni Association are just $10.00.

Check payments should be payable to Southern Arkansas University Alumni Association.
Payments should be mailed to:

P.O. Box 9416
Magnolia, AR
71754-9416

Southern Arkansas University - the most affordable, fastest growing university in Arkansas

Alumni information update/application form

Schools & Colleges

Quick Links

Social