User account

Account information

Username: *

Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Alumni Signup

First Name *
Middle Name
Last Name *
Street Address (Primary)
Supplemental Address 2 (Other)
City (Primary)
State (Primary)

Alumni Updates

Change of Address? We want to keep in touch. Please take a moment to complete this important information.

Middle Initial

Former or Maiden Name

Street

Apartment Number

City *

State *

Zip *

Telephone *

Fax

E-mail *

Legislative District (Texas Only)

Title

Employer

Street (Business)

State (Business)

City (Business)

Zip (Business)

Telephone (Business)

Fax (Business)

E-mail (Business)

Your First Degree Earned at PVAMU *

Department *

College/School *

Major *

Year of Graduation *

Your Second Degree

University (Second)

Year of Graduation (Second)

Terminal Degree

Year of Graduation (Terminal)

Gender (Male or Female) *

Male Female

Date of Birth

Have any of your children attended PVAMU?

Yes

Thank you again for updating the above information and please forward the document via U.S. mail or facsimile to: Edie Charlot Office for Alumni Affairs Prairie View A&M University P.O. Box 519; MS 1218 (936) 261-1568 (ph) For general questions contact:edcharlot@pvamu.edu All information will be kept strictly confidential

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