Submitting Provisional Appointments

Provisional Appointment Request Form

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

Individual Requesting Provisional Appointment

Child's Information

Who would you like the certificate mailed to? Required Field
Who would you like the certificate mailed to?