MEMBERSHIP APPLICATION FORM
In light of the exchange program alumni spirit of knowledge sharing and community-oriented philosophy, the Mongolian Association of State Alumni (MASA) welcomes and encourages all our fellow alumni to join our association and share your expertise and experience with the alumni family and the larger public as part of our modest return to the society.
WELCOME
Personal Information:
First name
Your answer
Last name
Your answer
Personal Email address
Your answer
Cell phone
Your answer
Facebook or Other Social network ID
Your answer
Current position/studies (please specify your title, work place/school if you’re a student)
Your answer
Name of the participated exchange/scholarship program
Exchange/scholarship program
Required
If you selected Other, please specify below
Your answer
School and career information
Name of U.S. host institute/college
Your answer
Starting and the ending date or year of the program/training:
Your answer
Major field/topic of study (please specify if it was a degree program):
Your answer
Current job (title and company):
Your answer
Membership type (please mark the type of membership you wish/fit to assume)
Membership type
MASA Bank Account
Bank name: Khas bank
Account name: Хөгжлийн Элч Холбоо (Khugjliin Elch Kholboo)
Account number: MNT 5000370861; USD 5000370863
Interests: what alumni activities would interest you?
Required
If you selected Other, please specify below
Your answer
Confirmation
I hereby confirm my application to become a ___________ member of the Ambassadors for Development and accept the due duties and rights that the membership entails. I will follow and abide by the rules and responsibilities set forth in the Association’s charter.
Applicant’s signature
Your answer
Especial NOTE
Member shall be considered unfinancial and shall (without being released from the obligation of payment) have no membership rights and shall not be entitled to participate in any activity of the Association until the subscription is paid in full.

We will send you a confirmation email once we received your membership fee.

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