NORTHERN VIRGINIA COMMUNITY COLLEGE
ALUMNI FEDERATION
Membership Form
Name:_______________________________________________________
Address:_____________________________________________________
City:________________________State:_________Zip:_______________
Day Phone:_________________ Evening Phone:____________________
Email Address: _____________________________
Class Information:
Campus (circle one):
AL
AN
LO
MA
WO
MEC
Class of __________
Degree ____________
Field of Study __________________
I am interested in the following alumni-related opportunities:
_____ Alumni Federation Newsletter
_____ Volunteer activities
_____ Alumni Meetings/Board of Governors
_____ Special Events
_____ Alumni Fundraising events
Please return completed applications to:
NVCC Alumni Federation
7630 Little River Turnpike, Room 817
Annandale, VA 22003-3796
Ph.: 703-323-3023 Fx.: 703-323-3751
Via e-mail to: alumni@nvcc.edu
Our web address: http://www.nvcc.edu/alumni