This document discusses the creation and management of alumni associations. It begins by outlining the criteria for alumni membership and then discusses the relevance of alumni for countries and committees, providing examples of donations and referrals generated by alumni. The main steps in creating an alumni association are described, including forming an interest group, an organizational meeting to establish by-laws and officers, and follow-up. Advantages and disadvantages of management by alumni or the MCVP are considered. Finally, examples of best practices from Togo and the United States are provided.