IVC Alumni Membership Sign-up Form

Please fill out the form listed below to activate your initial membership with the IVC Alumni Association:

Email

Please provide your email address so we can notify you that we have received your submission.
Title
Name Name First Last
Maiden Name

If different from your current last name.
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Primary Phone Number Primary Phone Number - ### - ### ####
Phone Number Type

Phone Number Type Home Work Cellular
Date you started attending IVC Date you started attending IVC / MM / DD YYYY

The exact day does not have to be exact, but the year should be accurate.
Date you finished attending IVC Date you finished attending IVC / MM / DD YYYY

The exact day does not have to be exact, but the year should be accurate.
Degree(s) or Certification(s) obtained

Please tell us what degree you graduated with from IVC
Major
Extracurricular Activites:

Please list any extracurricular activities you were involved in during your time at IVC.
Current Employer (Company/Organization):
Membership Options

Membership Options Yes, I'd like to contribute $25 to activate my annual membership and recieve quarterly Alumni news & updates! Yes, I'd like a complimentary "New Grad" FREE membership as a first year graduate! Just add me to the Alumni Association database.
For more information or to contact the Alumni Association call the IVC Foundation Office at (760) 355-6113.