Update Membership

Fort Valley State University

Update Membership

If you have recently changed your information please let us know!

First Name:
Last Name:
Email address:
Local Address (P.O. Box):
Campus Address (Dorm & Room#):
City:
State:
Zip code:
School Phone:
Home Address:
Home Address 2:
Home City:
Home State:
Home Zip Code:
Do you have any special medical needs (e.g. Asthma, Diabetes, etc.)?
Birthday
What is your Classification?	Freshman
	Sophomore
	Junior
	Senior
	Continuing
	Non-Traditional
Would you like to participate in the Gospel Choir?
If so, what voice do you sing?	Soprano
	Alto
	Tenor
	Bass
Would you like to participate in the Drama Ministry?
Would you like to participate in the Praise Dance Ministry?
Would you like to participate in the Step Team Ministry?
Would you like to participate in the Creative 4 Christ Ministry?
Would you like to participate on the Praise and WorshipTeam?
Would you like to participate on the Out Reach Ministry