________________
"There is nothing more powerful than an idea. No weapon can destroy it, no power can conquer it, except the power of another idea." YOUNG MINDS (continued)
GENERAL INFORMATION
Last Name:
Permanent Address:
Home Telephone Number: ( )
Date of Birth (MM/DD/YY):.
Parents' Names: Father
EDUCATIONAL INFORMATION
High School Information
O Check if currently a high school student School Name:
Class of:
YOUNG PROFESSIONAL INFORMATION
Profession (list primary field(s)):
Employer/Company:
Business Address:
Business Telephone: ( ).
Optional
Why do you want to join YJA?
I do not want...
Email YJA
To Reach the Executive Committee yja-excom-list@pantheon.yale.edu
To Reach the Co-Chairs yja-cc-list@pantheon.yale.edu
To Reach the Advisory Board yja-ad-list@pantheon.yale.edu
YJA MEMBERSHIP FORM
18/JAIN DIGEST WINTER 1997
Class of:
First Name:
Fax: ( )
Email Address:
O any of this information published by YJA in a positive manner
O home phone number published
O college phone number published
O business phone number(s) published
Jain Center Affiliation:
College Information
O Check if currently a college student University/College Name:
Mother
To Reach Your Regional Co-ordinators
yja-xx-list@pantheon.yale.edu
(Replace xx with ma, we, se, so, ne, or mw, depending on your region.)
TODAY'S DATE:
Graduate School Name:
Position/Job Title:
For Private & Personal Use Only
Class of:
Most Recent (or current) Degree/Major:
If you would like to join YJA or update your existing membership information, please fill out this form and mail it to either of the following addresses:
Within the U.S.:
Young Jains of America
/% Raju Shah
PO Box 202039 New Haven CT 06520
M.I.
Outside the U.S.:
Young Jains of America /o Paulomi Gudka 35 Andes Road
Scarborough, ONT MIT 3B6
You can also find this form online at: http://www.yale.edu/yja/
YOUNG Minds
EDITOR IN CHIEF
Gaurav Kapadia
ASSOCIATE EDITORS Avni Shah Raju Shah Anish Sheth
If you would like to become an editor of YOUNGMinds,
please email Gaurav Kapadia at Gauravk@aol.com, or call 516/829-3316.
www.jainelibrary.org