Application for SSESA Life Membership

Membership is subject to approval by the SSESA Managing Committee. Please allow 8 weeks for the verification and registration process

Contribution Amount *	$ 20.00 Life Member
Email Address *

Application for membership

First Name *

Middle Name

Last Name *

Gender *

Female Male Transgender

Birth Date *

Studied at St. Stanislaus From

School Graduation Year *

Year you graduated/passed out from St. Stanislaus High School

Educational Qualifications

Marital Status

Married

Unmarried

Number of children

Wedding Anniversary

Partner's name

Partner's Birthday

Phone-Landline (Home) *

Phone-Mobile (Main)

Street Address (Home) *

Supplemental Address 1 (Home)

City (Home) *

Postal Code (Home) *

State (Home)

Country (Home) *

Current Employer *

Job Title/Designation *

Street Address (Work)

City (Work)

Postal Code (Work)

State (Work)

Country (Work)

Phone-Phone (Work)

Profession *

If You are Self Employed or are a Professional please specify the nature of Business/Profession and Telephone number

Volunteer *

Please indicate a special field you can volunteer your skills/services/resources to assist SSESA wherever you live.

Membership Terms *

Yes No
I AGREE TO ABIDE BY THE MEMORANDUM OF ASSOCIATION AND BY-LAYS OF ST. STANISLAUS EX-STUDENTS ASSOCIATION