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Nursing Alumni Association Registration

*All fields except Maiden Name are required.

First name:
Last name:
Maiden name:
Address:
City:
State:
Zip:
Email-address:
Confirm Email-address:
Year graduated:
BSN:
ASN:
Where do you work?
 
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School of Nursing
Illges Hall, Room 308
Ph: 706-565-3649
Fax: 706-569-3101

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Columbus State University
4225 University Avenue
Columbus, Georgia 31907
706-507-8800

©2009 Columbus State University
Last Updated: 10/15/09

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