VCI - VIRTUAL COMPANY INDONESIA

Fullname *

Email *

Address *

City *

State / Province *

Postal / Zip Code *

When did you have VCI?

High School

College

Both

Name of High School *

Year of High School Graduation *

Name of College

Year of College Graduation (expected or actual)

Select your current occupation(s): *

College Student (Undergraduate level)

College Student (Graduate level)

Medical School Student

Law School Student

Trade School Student

Full-Time Employment

Part-Time Employment

Military Service

Please explain what you currently do: *

Tell us about your VCI experience: *

How would you like to re-engage with VCI? (select all that apply):

Act as an ambassador for the program

Judge a VCI-related competition

Mentor one or more students

Receive VCI News and Updates

Serve as a VCI Firm Business Partner

Volunteer for a VCI-related event

Volunteer at a VCI office

Alumni