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Thank You For Taking Time To Update Your Alumni Information

Note: Fields marked with * are required.

Personal Information

Professional Name Suffix (M.D., Esq., etc.)

First Name*:
Middle Name:
Last Name*:

Name Suffix (Jr., Sr., III, etc.):

Maiden/Former Name (If applicable):

   
Home Address 1*:
Home Address 2:
City/Town*:
State/Province*:
Zip Code/Postal Code*:
Country(If not in the USA):
Home Phone*:  ) 
Cell Phone:  ) 
Email Address*:
   
Birth Date*:  /   /   (MM-DD-YYYY)
Sex*:  Male   Female
Marital Status:  Single   Married   Divorced
Did your spouse/partner attend VSU(Enter Name):  Yes   No
VSU Information
Graduation Year*:
What was your degree/major(s)*:

If you did not graduate, what year’s did you attend VSU:

Name while attending VSU (if different from above):

Activities while on campus*:

Did you obtain your Master’s or Doctoral Degree from VSU*:        Yes   No
Business/Employment

Employer:

Job Title:
   
Business Address 1:
Business Address 2:
City:
State:
Zip Code:
Business Phone:  ) 
Business Fax:

Business Email:

Does your Employer offer Full-time, Internship, or Summer Hire Positions?:     

If so, what fields are they offered in?

Can we provide this information to matriculating VSU students?

If so, can you provide a contact name and number? 

   
Other Information
Please add any other information about yourself that you would like to share with us:
Privacy Policy

Protecting your privacy is very important to us. All of the information we collect will be used only as described. The information obtained within this directory will be used by the Virginia State University Alumni Association (VSUAA) and the Virginia State University (VSU). We do not sell, rent or trade alumni information with any organization that isn't directly affiliated with us. VSUAA works closely with the VSU Alumni Relations Office, the VSU Development Office, and its alumni and professional chapters. We will share your information with these organizations.

If you do not want your directory information included in our lists to those mentioned above, please indicate so in writing to info2@vsuaaonline.com or mail your request to:

VSU Alumni Association
P.O. Box 2488
Petersburg, VA 23804


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