Valpo Tech Alumni Registration Form

Valpo Tech Alumni Registration

WELCOME
Privacy Statement:

Your information will not be sold or otherwise provided to anyone outside of the VTI Alumni Group. We may occasionally send email advisories, news items or announcements regarding Valpo Tech. We may, on occasion, distribute an electronic VTI Alumni Directory to the VTI Alumni Group that will contain some of your personal information. You can opt out of the email distribution system at any time.
FIRST Name *
LAST Name *
You Are *

Alumni Friend of Valpo Tech FOVT VTI Instructor
When did you attend? *
Primary e-Mail *
We will use this address as our main contact for you.
Backup e-Mail {optional}
We will use this address as our back-up contact for you.
Ham Call
Address *
Address 2 {optional}
City *
State *
Zip Code *
Phone Number {optional}

Area Code Phone Number
You Lived At: (optional)

Memorial Hall Steinmetz Hall Ennis Hall Cottage Off-Campus Married Quarters
Can you recommend an Alumni that we may not know about?
Alumni Name Recommendation {optional}?
Alumni e-Mail Address or Other Contact Info {optional}?
Comments {optional}
You may use my information in a VTI Alumni Directory *

Yes No
Should be Empty: