Submitting Provisional Appointments

To initiate a provisional appointment for someone in your family, please fill out and submit the form below. The Admissions Office will enter the information into a database and then notify the Alumni Review staff, at which time the appointment will be printed in the Review.

Please fill out the information below if you are interested in receiving a Provisional Appointment from the VMI Admissions Office. If you have any questions, please contact VMI Admissions at 540-464-7211 or email admissions@vmi.edu.

Individual Requesting Provisional Appointment

First Name: Required Field

Last Name: Required Field

VMI Class Year

Address 1: Required Field

City:

State:

Zip:

Primary E-mail: Required Field

Daytime Phone Number

Relationship to Child Required Field

Child's Information

Childs Name Required Field

Child's Address Required Field

Child's City Required Field

Child's State Required Field

Child's Zip Code Required Field

Child's Date of Birth (M/D/YYYY) Required Field

Child's Grade in School

Child's Email (If Available)

All VMI Graduates in Child's Family, Class, & Relation to Child Required Field

Who would you like the certificate mailed to? Required Field

Who would you like the certificate mailed to? Child
Alumnus