Association of 1775 Interest Form

• Name

  Name * First Last
• Class Year
• Company
• Title
• Email *
• Phone

  Phone - ### - ### ####
• I am
  I am

  Active Military Retired Military Veteran Government Employee W&M Parent Other Other
• Please provide us with any professional, cultural, intellectual, social programming experiences and/or resources you would like to see offered to your fellow Association of 1775 alumni, parents, families and friends. Do you have the experience and/or connections to lead, participate and/or plan this experience?
• Please provide us with any professional, cultural, intellectual, social programming experiences and/or resources you would like to see offered to students seeking to enter government service or the military (whether as a part of ROTC or not), and student military veterans, either on or off campus. Do you have the experience and/or connections to lead, participate and/or plan this experience?
• Would you like to serve as a volunteer leader in the Association of 1775? Your commitment would include two years of volunteer service, attendance of at least one meeting, committee or forum per year, attendance at regional and online events when possible, leadership in planning at least one event during the time of service, and annual giving to the university.
  Would you like to serve as a volunteer leader in the Association of 1775? Your commitment would include two years of volunteer service, attendance of at least one meeting, committee or forum per year, attendance at regional and online events when possible, leadership in planning at least one event during the time of service, and annual giving to the university.

  Yes No
• Is there anything else you would like us to know?