VSU Athletics Alumni Information Form

All items marked by the * are required.

>> *First Name:
 
>> Middle Name:
 
>> *Your Last Name When You Played at VSU:
 
>> *Current Last Name:
 
>> Suffix (ex. Jr. or III):
 
>> *E-mail Address:
 
>> Best Phone Number to Reach You:
 
>> *Current Address:
 
>> *City:
 
>> *State:
 
>> *Zip Code:
 
>> Date of Birth:
 
>> Class Years:
 
>> Degree(s)/Major(s)
 
>> *Sport(s) Played:
 
>> *Years Played:
 
 
Spouse Information
>> Spouse Name (FIRST, MIDDLE, MAIDEN, LAST, SUFFIX)
 
>> Is your spouse an VSU Alumni?
(If so list CLASS YEARS, DEGREE(S)/MAJOR(S))
 
 
Your Contact Preferences
>> *Would you like to receive information about current teams?
  Yes         No
>> If so, which ones?
 
>> * Would you like to receive information about future
athletic alumni events?
         
 
General Information
>> Comments or Questions?
 
Enter the code from the image above:
   
 
 
Sign up for Blazer News