Contact Information

*Name:

Home Address:

Home Phone:

Work Phone:

Mobile Phone:

Fax:

Graduation Year:

*E-Mail Address:

*It is best to contact me by:

I wish to volunteer to:

Refer Students and/or Arrange Campus Visits
Recruit an Outstanding Student for a Scholarship by Submitting a Gold Card
E-mail/Call Prospective and Admitted Students
Assist with Off-Campus Interviews or Receptions
Represent Juniata at a College Fair
General Support - Spread the Word about a Juniata Education
Contact Karen Beck, JAA Chair, to discuss other options

Click here for descriptions of the above activities. (A new page will open. Simply close that page to return to the sign-up form.)