Norwich University

Account Request

Account Request
Member Information
Title (Mr., Mrs., Dr., ENS, Col):
First Name: required
Preferred First Name/Nickname:
Middle Name:
Maiden Name:
Last Name: required
Suffix 1 (Familiar):
Suffix 2 (Professional):
Gender:
Birthday:
RadDatePicker
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Open the calendar popup.
 
Relationship-select all that apply: required Use Ctrl or Shift keys to multi-select.
If you do not have a class year, please select N/A.
Preferred NU Undergraduate Year: required
Preferred Vermont College Year:
Preferred Masters Degree Year:
NU Major or SGS Program: Use Ctrl or Shift keys to multi-select.
Lifestyle:




Contact Information
Primary Email:
Address Line 1: required
Address Line 2:
Address Line 3:
City: required
State: required
Zip: required
Country: required
Phone Number:
Fax Number:
Personal Website:
Account Information
Username: required
Password:
E-mail Communications
There are two types of email communications that members receive from the Online Community. One-time emails are sent periodically by administrators regarding special news, events, appeals, etc. Recurring emails take the shape of various types of Newsletters and other regularly scheduled types of email communications. You may opt-out of either or both of these types of email messages at anytime.
Please read the Terms and Conditions required
Education
Degree:
Major 1:
Major 2:
Minor:
Student Activities:
School 1:
Spouse & Family Information
Marital Status:
Spouse Name:
Is spouse a NU, VC, or SGS alum?
Spouse College if not NU, VC, SGS:
Additional Spouse Colleges:
Spouse Date of Birth:
RadDatePicker
RadDatePicker
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Date of Marriage:
RadDatePicker
RadDatePicker
Open the calendar popup.
 
Number of Children:
Name of child 1:
Date of Birth for child 1:
RadDatePicker
RadDatePicker
Open the calendar popup.
 
Child 1 is:



Name of child 2:
Date of Birth for child 2:
RadDatePicker
RadDatePicker
Open the calendar popup.
 
Child 2 is:



Name of child 3:
Date of Birth for child 3:
RadDatePicker
RadDatePicker
Open the calendar popup.
 
Child 3 is:



Name of child 4:
Date of Birth for child 4:
RadDatePicker
RadDatePicker
Open the calendar popup.
 
Child 4 is:



Name of child 5:
Date of Birth for child 5:
RadDatePicker
RadDatePicker
Open the calendar popup.
 
Child 5 is:



Additional Children:
Please list all additional relatives who have a degree or are attending NU, VC, or SGS. Please also include their class year and relationship to you:
   

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Norwich University · Alumni Office · 158 Harmon Drive, Northfield VT 05663
802.485.2100 · toll-free 877.485.2019 · alumni@norwich.edu
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