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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
Awards or scholarships:

 

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

 

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

 

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