Cheerio,
Lynn & Nina

PERSONAL INFORMATION

First Name:*
Last Name:*
Maiden Name:

Home:		School:	(same as home)
Address:*		Address:
City:*		City:
State:*		State:
Zip Code:*		Zip Code:
Phone:		Phone:
Email:*		Email:
Cell Phone:

What will you be doing this Fall?

College Graduate School Working Other:

What did you do this past summer?

INTERN EXCHANGE INFORMATION

Internship Year:
Internship:

What was your most memorable experience as an IEI Intern?

What would you consider your major accomplishment since your IEI Internship?

Have you stayed in touch with other Interns?
Yes (If yes, with whom?)   No

(Please provide us with any Intern email addresses that you may have
in order to help us keep our alumni files up to date.)

COLLEGE INFORMATION

College Name:		Graduate School:
Major:		Field of Study:
Degree(s):		Degree(s):
Graduation Date:		Graduation Date:

Did your Internship help you in school?
Yes (If yes, please explain)   No

CAREER INFORMATION

What career have you chosen?

Did you stay in the same field as your Internship?
Yes (If yes, please explain)   No

Did your Internship help you in choosing a career?
Yes (If yes, please explain)   No

What is your current position & employer?

GET INVOLVED WITH IEI

Would you like to represent IEI at Summer Fairs in your community?
Yes   No

Do you have any contacts in London for future Internship placements?
Yes (If yes, who and may we contact you?)   No

Do you have any overall comments, stories or feedback that you would like to share?

If you would like to submit a photo, please email it to IEI at alumni@internexchange.com

THANK YOU FOR YOUR TIME!

  Today's Date: Saturday, July 31, 2010