Volunteer

Alumnae/i Association

Forms

Office of Alumnae/i and Parent Relations
Ph: 800-763-7359
Fax: 540-885-9503
E-mail:

Prospective Student Referral

Fields in red must be completed.

PROSPECT INFORMATION

Student Name
(First Middle Last)
Address
City, State Zip
Phone
Student E-mail
Graduation Year
School
Please send the student information on:
Residential College for Women
Virginia Women's Institute for Leadership
Program for the Exceptionally Gifted
Master of Arts in Teaching
Adult Degree Program
Master of Letters/Master of Fine Arts in Shakespeare and Renaissance Literature in Performance

ALUMNAE/I INFORMATION

Your Name
Class Yr.
Address
City, State Zip
Home Phone
Your E-mail
Relationship to student

EMPLOYMENT INFORMATION

Job Title
Employer
Work Address
Work City, State, Zip
Work Phone
Work Fax

May we use your name? Yes No

I am a member of: (check all that apply)
Board of Trustees Parents Council
Advisory Board of Visitors Faculty/Staff
Alumnae/i Board Student body
        Class year

Application fee may be waived for students who apply as a result of your referral.