ASHLAND
International Alumni Update Form

We want to know what you are doing! Keep us informed by filling out all of the parts of this form that apply to you.. (Fields with an* must be completed.) We will keep this information for our records, and will also advise the AU Alumni Office for you.

NAME
*First Name:
Middle Name:
*Last Name:
American Nickname, if any:
Preferred Prefix: Mr. Mrs. Miss. Ms. Dr. Rev.

HOME ADDRESS
Street or PO Box:
City:
State/Province:
Country:
Postal Code, if any:

INTERNET
*Active Email:
Personal Website URL, if any:

EDUCATION
*Year of Graduation from AU:
*Did you attend ACCESS?: Yes No
*AU Academic Program: UG MBA MEd
Major or Concentration:
Further education after graduation from AU?
(Please give degree name, institution and date):

EMPLOYMENT
Employer's Name:
Title/Position:
Business Web url:
Currently not working or retired

VISA STATUS (check one)
No longer living/studying in the United States
U.S. Citizen
Permanent Resident
H-Visa
Currently on OPT
F-Visa through (name of school):
Other:

FAMILY
Marital Status: Single Married Widowed Divorced
If Married, spouse's name:
Children:
Name Gender Birthday (month/day/year)
Male Female
Male Female
Male Female
Male Female
Please use this space to update us on information about yourself, achievements, family, or anything else you would like to share with us.):

YOU CAN HELP
Please indicate all areas that interest you, and we will make sure that you get information:

Prospective Student Contact (your name and email will be on our website)
Recruiting (helping with fairs/contacts in your home country)
Alumni Meetings in your home country