| Print this form, fill out, and mail to the address below. |
|
Tarkio College Alumni Association,
Inc. |
| Applicant Name (Last, First,
MI):_________________________________________________
Address:____________________________________________________________________ ___________________________________________________________________________ Phone (include area code):_______________________________________________________ High School:_________________________________________________________________ Address:____________________________________________________________________ ___________________________________________________________________________ Baccalaureate Institution:________________________________________________________ Address:____________________________________________________________________ ___________________________________________________________________________ Relationship to Tarkio Alumnus: Son Daughter Grandchild Name of Tarkio College Alumnus related to you (name as on TC records; Last, First, MI): ___________________________________________________________________________ Year of graduation from Tarkio College:_______________________ Name of College or University you plan to attend: _____________________________________ Address:____________________________________________________________________ ___________________________________________________________________________ Please submit a picture for placement in TCAA publications. Each Applicant Must Submit 1) Copy of HS
transcript/Certification of High School graduation. (can be submitted later if
not available) Send application and documents to: Tarkio College Alumni Association |