AAAC Mentoring Circle Agreement - Student

Exit Survey

Questions marked with a * are required

40%

Contact Information

First Name

Last Name

Phone

Email Address

VCUA Consent Form

VCU is committed to information privacy for members of its community. In order to participate in the AAAC Mentoring Circle, VCU Alumni Relations seeks your consent to publish and share your university assigned email address and phone number with assigned mentors and program coordinators via email.

By checking this checkbox, you give your affirmative consent for VCU Alumni Relations to share your information as described above.

For questions related to this consent request, modification of your covered information, or revocation of your existing consent, please contact (Larry Powell, [email protected]). For more information on student privacy rights, please visit http://go.vcu.edu/ferpa.

I agree to the consent statement above

Yes