________________
"There is nothing more powerful than an ideu. No weapon can destroy it, no power can conquerit, except the power of another idea." YOUNG MINDS (continued)
YJA MEMBERSHIP FORM
GENERAL INFORMATION
TODAY'S DATE:
Last Name:
First Name:
Permanent Address:
Present Address:
Home Phone: (
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School Phone: (
Date of Birth (MM/DD/YY):
Email:
Jain Center Affiliation: Mother
Parents' Names:
Father
EDUCATIONAL INFORMATION
Check one:
o Elementary/high school School Name:
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Undergraduate college o Post-gradute college
Class of (mm/yy);
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YOUNG PROFESSIONAL INFORMATION
Title:
Current Employer/Company:_ Business Address:
# of years:
Business Telephone: (
Email:
If you would like to learn more about YJA and/or become a member, please fill out the form and send it to:
Optional Why do you want to join YJA?
Shefali Parekh MR Box 1081 31 McAlister Drive New Orelans, LA 70118-5645
Please check if applicable:
ol do not want any of this information published by YJA in a positive manner.
Signature:
You can also find more information and this form online at:
http://www.yja.org/
YOUNG Minds
YJA ON THE İNTERNET
To reach the Executive Committee, email:
yja-exec@egroups.com
PUBLICATION DIRECTORS Reshma Modi
Rajan Mehta 248/851-3965
510/704-5683 reshmamodi@mail.com rajmehta@mail.com
Visit our website at:
www.yja.org
If you would like to become an editor of Minds, please contact Reshma Modi at reshmamodi@mail.com, or 248/851-3965
30/JAIN DIGEST FALL 1999
Jain Education Intemational
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