AIESEC Life Alumni Survey

*
1. First Name

First Name

*
2. Last Name

Last Name

3. Maiden Name

Maiden Name

*
4. Contact Information

Contact Information Address 1:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

5. Employer

Employer

6. Industry

Industry

*
7. Role(s) held while in AIESEC (check all that apply)

Role(s) held while in AIESEC (check all that apply) Member

Student/Regional Director

Local Committee Executive Board

Local Committee President

National Staff/Member Committee

National/Member Committee President

AIESEC International

Trainee

*
8. Last year in AIESEC

Last year in AIESEC

*
9. Year Joined AIESEC

Year Joined AIESEC

*
10. Local Committee (if home LC in country other than U.S., please specify only the country under "other")

Local Committee (if home LC in country other than U.S., please specify only the country under "other")

11. Traineeship Year (if applicable)

Traineeship Year (if applicable)

12. Traineeship Country (if applicable)

Traineeship Country (if applicable)

AIESEC Life Alumni Survey

1. Contact Information

*1. First Name

*2. Last Name