Norwich University


Account Request

Account Request

Member Information
Title (Mr., Mrs., Dr., ENS, Col):
First Name:
Preferred First Name/Nickname:
Middle Name:
Maiden Name:
Last Name:
Suffix 1 (Familiar):
Suffix 2 (Professional):
Gender:
Birthday:
RadDatePicker
Open the calendar popup.
 
Relationship-select all that apply: Use Ctrl or Shift keys to multi-select.
If you do not have a class year, please select N/A.
Preferred NU Undergraduate Year:
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:
Address Line 2:
Address Line 3:
City:
State:
Zip:
Country:
Phone Number:
Fax Number:
Personal Website:
Account Information
Username:
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
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
Open the calendar popup.
 
Date of Marriage:
RadDatePicker
Open the calendar popup.
 
Number of Children:
Name of child 1:
Date of Birth for child 1:
RadDatePicker
Open the calendar popup.
 
Child 1 is:



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



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



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



Name of child 5:
Date of Birth for child 5:
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:

   

EXPECT CHALLENGE. ACHIEVE DISTINCTION.
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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