Malaysian Student Association
Please enter your contact infomation so we can contact you on events on campus.
* Required
Name:
*
Please enter your name ( etc. Aaron Victor)
Gender
*
Please state if you are a Male or Female
Male
Female
E-mail
*
Please enter you e-mail ( etc. aaronjv@gmail.com)
Telephone Number
*
Please enter your telephone no. (+1618-978-3379)
Address
*
Please enter the address of where you are currently staying.
Hometown
*
Where are you from in Malaysia or USA
Major
*
Please tell us what are you studying (etc. Electrical Engineering, Management)
Please select you level of Education.
*
Please chose the best answer on your current level of education.
Diploma
Bachelors / Undergraduate
Masters / Graduate
PhD. / Graduate
Other:
Marital Status
*
Please select one
Single
Family
List name of family members
Please list the names of your family members which you have brought to SIUC.
What type of students are you?
*
Please select one only.
Private
Goverment Sponsored