Ateneo Alumni Association Canada Membership Application Form (on-line)

All Ateneo Alumni residing in Canada are eligible to join the Association. A minimum of one(1) semester's schooling at any Ateneo School is required for membership. Please refer to the Constitution for other details.

Please provide the following contact information:

First Name

Last Name

Middle Initial

Spouse(Maiden Name)

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

FAX

E-mail

Ateneo Grade School attended

From 19__to 19__

Ateneo High School attended

From 19__ to 19__

Ateneo College or University attended

From 19__to19__

Postgraduate Ateneo attended

From 19__to19__

Business/Employer Name (Optional)

Business Address

Business Address

Other Affiliations

Confirmation
of Eligibility
I affirm the veracity of the above information, confirming that I am an Alumnus, or have attended at least one semester at any one of the above Ateneo Schools.(Please check the box above to confirm your eligibility)

First Name
Last Name
Middle Initial
Spouse(Maiden Name)
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
Ateneo Grade School attended
From 19__to 19__
Ateneo High School attended
From 19__ to 19__
Ateneo College or University attended
From 19__to19__
Postgraduate Ateneo attended
From 19__to19__
Business/Employer Name (Optional)
Business Address
Business Address
Other Affiliations
Confirmation of Eligibility	I affirm the veracity of the above information, confirming that I am an Alumnus, or have attended at least one semester at any one of the above Ateneo Schools.(Please check the box above to confirm your eligibility)

Ateneo Alumni Association Canada Membership Application Form (on-line)

AAAC WebmasterCopyright © 2000 Ateneo Alumni Association Canada. All rights reserved. Revised: April 21, 2001

AAAC Webmaster
Copyright © 2000 Ateneo Alumni Association Canada. All rights reserved.
Revised: April 21, 2001