SELF-NOMINATION INFORMATION:

Full Name (Last name first -- in capital letters): ______
Title (Mr./Mrs./Ms./Dr./Rev./Professor): ______
Organization/Company/Institution: _____
Primary Occupation: _______
Ethnic/Nationality Background (e.g., Chinese, Indian, Bangladeshi, Turkish): ____
Age: __________
U.S. Citizen or Permanent Resident: _______
Your e-mail address (if none, indicate so): ____
Your home phone number: _____
Your home address: _____
City/State/Zip: ______

Your office address: ____
Your office phone number: ___
City/State/Zip: _____

Many of our advertisers offer special deals about their products and services. Would you be interested in to be included in our mailing list to receive such offers?

Yes, include me in your mailing list: _____  

Note: Your home and office telephone numbers as well as your e-mail address will not be published in your biographical profile. We will also exclude your home and/or office addresses unless you specifically request their inclusion.

Yes, publish my home address: ____
Yes, publish my office address: ____

Your Biography

            Your biography should include the following information: Place of birth, family background, career, occupation, educational achievement, professional & association memberships, writing & creative activities, civic & political activities, awards, recognitions, and other achievements. Please see our web site for examples:

 http://www.asianamerican.net/whoswho.html

            There is no cost or obligation involved to be included in this Who's Who directory. After reviewing your credentials we will contact you. Asian American Net reserves the right to reject any entry at its discretion or omit any biographical data which does not conform with our format, style, and standard. It is the responsibility of the nominee to submit accurate and factual information. Please visit our web site to learn more about our policies and disclaimer.

            Thank you very much, and we look forward to hearing from you.

Submit Your Biography