EVMS Legacy Alumni Advisory Board Candidate Application

Applications due by 12pm EST, Wednesday, April 30, 2025

For additional information, please contact Vhs-alumni@odu.edu.

Contact Information
Name Name * Title First Middle Last Suffix
Email *
Phone Phone * - ### - ### ####
May we send you text messages?

May we send you text messages? Yes No
Mailing address Mailing address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
EVMS Education
School attended *

School attended School of Medicine School of Health Professions
Program
Additional EVMS Education
School attended

School attended School of Medicine School of Health Professions
Program
About You
Current job title *
Current employer(s) *
I have reviewed and can fulfill the Advisory Board Member Roles and Responsibilities *

I have reviewed and can fulfill the Advisory Board Member Roles and Responsibilities Yes No
Short bio
Upload Resume/CV

Attach Files
Upload headshot

Attach Files
Please share why you want to join the EVMS Legacy Alumni Advisory Board and share how you have stayed connected to EVMS since graduation