VCU Alumni Stars
Please complete and return this form and any attachments by July 1 to Diane Stout-Brown, Senior Director.

If you have not already forwarded a copy of your current resume or vitae, please include it when you return this form. You do not need to repeat any information below if it is included in your resume or vitae. If you have any questions, please call Diane at (804) 828-7020 or email dstout@vcu.edu.

List your name and how you would like your name to appear in presentations and in printed materials.
Your answer
What is your email address?
Your answer
List all institutions of higher learning you have attended, the years of attendance and any degrees received, including major fields of study.
Your answer
List any student activities, alumni activities, memberships, honors, awards, recognition or studies at VCU that were significant your later professional or personal life, and tell us why.
Your answer
Cite an incident, aspect or other component of your time at the university that was particularly influential in your later personal or professional life, and tell us why.
Your answer
Tell us what you think have been major professional accomplishments since you left the university. Tell us your personal approach to your career, and the aspects of your character that make this enjoyable.
Your answer
If your career involves medical, scientific or another specialty that would not be instantly familiar to a lay audience, please explain a little of what your work is and how it affects others.
Your answer
List your memberships or involvement with professional, academic, civic, community and other organizations. Where applicable, please cite your spouse and number of children.
Your answer
Submit a 1-3 sentence quote about your personal feelings toward some aspect of your education at VCU.
Your answer
If you reside outside the Richmond area, please send us a color photo (head and shoulders portrait). If you are in the local Richmond area, we will schedule a photo session with you. Are you in the local Richmond area?
Please list the name of the guest who will be attending with you, if applicable.
Your answer
Send us photographs that we can use in a presentation shown during the awards program. In general, we would like to have personal images that tell more about you. These can be photos of you with your family, engaged in a hobby, on vacation, at work, etc. (Send to dstout@vcu.edu)
Tickets to the event will be $75 for active dues members or a table of 10 for $750. For all others, the single ticket price is $100 and a table for 10 is $1,000. There is no charge to the honoree and 1 guest.
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