Alumni Connection Request


*Your First Name:
*Your Last Name:
*DOB:  Month:    Day:    Year: (YYYY)
*Preferred method of contact — you may select one or both.
E-mail:
 
Phone:
  (please include area code)
Please identify the kind of UVa Law Alum you'd like to connect with - one in a specific practice area? Geo. Region/Location? Same Undergraduate School? You may also indicate if you have a gender preference or any other criteria (interests, ethnicity, background, etc.), and we will do our best to match you accordingly.
Practice Area:1)
2)
3)
Geo. Region/Location:1)
2)
Undergraduate School:  
Gender:  
Other:1)
2)
* Required Information