Address:
City/State/Zip:
Evening Phone Number:
Daytime Phone Number:
Place of Employment:
Current Position:
Year of Graduation:
Major:
E-Mail:
Make referrals
Encourage campus visits
Cover/assist at local college programs
Write letters to prospective students
Receive calls from prospective students
Serve as AU representative to local schools
Host student receptions
Make award assembly presentations
Upon reciept of this form, the VISTA Coordinator will contact you. If you should have any questions, please call (419) 289-5052 or 1-800-882-1548.
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