This form is used by ADTRAN to prepare for your next move in your tour.

Please enter your name, school, and number of work terms you have completed below:

NOTE: Students who have yet to report for a work term should enter 0 for the number of work terms.

First Name:

Last Name:

School:

# of Work Terms Completed:

Of the choices below, which best describes your situation?

Away at school and scheduled to report to work next semester

Away at school and NOT scheduled to report to work next semester