Alumni Association - Membership Benefits - Valencia Community College

Membership Registration

Thank you for your interest in the Valencia Alumni Association. Simply complete the following application to become a member. Information about membership eligibility can be found at Valencia Alumni Association Membership. All information is kept confidential. If you have questions while filling out your application, contact the Alumni Relations office at 407-582-2946 or alumni@valenciacc.edu

*Required information fields

Your Personal Information (all information kept confidential!)

Name *	First M.I. Last
Maiden Name
Valencia Student ID# (type V in front of #)
Home Address *

City, Town or Province & Postal Code *
State or Country *	US Zip Code *
Phone *	Home Cell (please include area code 555-555-5555)
Email *
Gender
Date of Birth

Your Valencia Information

Year graduated, expected graduation year or year last attended
Degree	AS AAS AA Certificate
Major
Major
Certificate Title
1. Awards/scholarships? 2. Who referred you to become a member of the Alumni Association? 3. Were you ever in the Bridges to Success Program?

Your Alumni Interests

Area of interest
Check all that apply

After-hours Networking Committee

Alumni Chapter Development Committee

Alumni Scholarship Committee

Alumni Travel Program Committee

Diversity Committee

Fundraising Committee

Leadership Development Committee

Membership Development Committee

Special Event Committee

Volunteer Committee

Other

Your Comments

Include news about jobs, employer press releases, promotions or accomplishments, awards, special events that you would like to share. Also include further education, professional certifications beyond Valencia Community College, listing the college name, degree, major, graduation year.
Please add any comments or suggestions.
(200 word maximum)

By clicking on submit you will receive an automatic e-mail response confirming your membership.