________________
"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 Phone: ( )
Email:
Parents' Names:
EDUCATIONAL INFORMATION
Check one:
O Elementary/high school
School Name:
Father
YOUNG PROFESSIONAL INFORMATION
Current Employer/Company:
Business Address:
Business Telephone: (
Optional
Why do you want to join YJA?
Please check if applicable:
Signature:
To Reach...
...the Co-Chairs
... the Executive Committee yja-excom-list@pantheon.yale.edu
Email YJA
yja-cc-list@pantheon.yale.edu
...the Advisory Board
Ol do not want any of this information published by YJA in a positive manner.
YJA MEMBERSHIP FORM
yja-ad-list@pantheon.yale.edu
School Phone: (
First Name:
O Undergraduate college O Post-gradute college Class of (mm/yy):
Email:
Present Address:
).
Jain Center Affiliation: Mother
...Your Regional Co-ordinators yja-xx-list@pantheon.yale.cdu
(Replace xx with ma, we, se, so, ne, or mw, depending on your region.) 22/JAIN DIGEST SUMMER 1999
TODAY'S DATE:
Date of Birth (MM/DD/YY):
For Private & Personal Use Only
O Working Area of study:
Title:
# of years:
O Other
If you would like to learn more about YJA and/or become a member, please fill out the form and send it to:
M.I.
Shubhra Jain
8680A Kingsbridge Lane St. Louis, MO 63132-4500
You can also find more information
and this form online at:
http://www.yja.org/
YOUNGMinds
EDITOR IN CHIEF
Naishadh Shah
If you would like to become an editor of Minds. please contact Naishadh Shah at naish@excite.com, or 732/651-8734.
www.jainelibrary.org