________________
Information for the 1996 National Jain Youth Directory
Send to: Jain Center of Greater Boston 26 Humbolt Avenue
In order to promote activities among Jain young people and strenghten their interest in the Jain communities of North America, the JCGB is compiling a Jain Youth Directory of North America. It is our hope that this directory will be used to organize youth groups, encourage exchange trips, pen pals and establish contacts for studying or working away from home. All single Jain young people between the ages of 16 and 30 are encouraged to fill out this form. If you are a married couple, please fill out the form that is found on page 9.
Name: Dr. / Mr./Miss. / Ms.:
Date of Birth:
Parent's Name:
Interests or Hobbies:
10
Phone Number:
Name of your school/college/university:
Grade/year:
If you are in high school, college or graduate school, please fill out the following information.
Your Address:
City:
Burlington, MA 01803
Phone and Fax: 617/272-3666 PLEASE TYPE OR PRINT CLEARLY
Signature:
Gender: Male/Female
Major/Field of Study:.
Jain Education International
Hometown:
If you are working please fill out the following information.
Name of Company:
Office Phone Number:_
Fax:
Profession:
Fax:
Degree:
JAIN DIGEST
For Private & Personal Use Only
State:
E-Mail:
E-Mail:
Submission of this form by the undersigned constitutes permission to the Jain Center of Greater Boston to publish the information therein, in print, electronic database or other forms. In the event of error or omission the Jain Center of Greater Boston will not be held responsible.
Zip:
Date:
No. of years:
Sept./Dec. 1995 www.jainelibrary.org
