________________
"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)
YJA MEMBERSHIP FORM
GENERAL INFORMATION
TODAY'S DATE:
Last Name:
First Name:
Permanent Address:
)
Email Address:
Home Telephone Number: ( Date of Birth (MM/DD/Y): Parents' Names: Father
Jain Center Affiliation:
Mother_
EDUCATIONAL INFORMATION
Graduate School Name:
High School Information o Check if currently a high school student School Name: Class of:
College Information
Check if currently a college student University College Name:
Class of: Most Recent (or current) Degree/Major:
Class of:
YOUNG PROFESSIONAL INFORMATION
Profession (list primary field(s)): Employer/Company: 1 Business Address:
Position/Job Title:
Business Telephone: (
).
Fax: (-
Optional Why do you want to join YJA?
I do not want...
O any of this information published by YJA in a positive manner
home phone number published college phone number published business phone number(s) published
Email YJA
YOUNG Minds
To Reach...
EDITOR IN CHIEF Gaurav Kapadia
...the Executive Committee
yja-excom-list@pantheon.yale.edu ...the Co-Chairs
yja-cc-list@pantheon.yale.edu ...the Advisory Board
yja-ad-list@pantheon.yale.edu ...Your Regional Co-ordinators
yja-xx-list@pantheon.yale.edu
(Replace xx with ma, we, se, so, ne, or mw, depending on your region.) 28/JAIN DIGEST SPRING 1998
ASSOCIATE EDITORS
Avni Shah Raju Shah Anish Sheth
If you would like to become an editor of Minds, please email Gaurav Kapadia at Gauravk@aol.com, or call 516/829-3316.
Jain Education Intemational 2010_02
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