AJST Membership Application Form
$55 for a 1-year membership
$105 for a 2-year membership
Association of Job Search Trainers

 

Last Name: _______________________________ First Name:_________________________________

Title: _______________ Organization/Company:_____________________________________________

Address: ___________________________________________ City: ____________________________

State:_____________      Zip: ____________________       Country: ____________________________

Phone: ______________________________                 Fax: __________________________________ 

Email: ________________________________ Web address: __________________________________

Name, as you want it on your membership certificate (print):

 ____________________________________________________________________________________

Check enclosed (make payable to AJST)
MasterCard
Visa
American Express

Account Number: ________________________________________________

Expiration Date:  ___________   Signature: ________________________________________________

 

Important: Please include the following information:

Person referring you to AJST: (name) __________________________________________

Indicate your professional area(s) of involvement:
Author    Education      Government    Human/Social Services Military   
Private Practice       Research       Other:__________________________

Check if you are interested in working on the following AJST committee(s):

Conference  Awards/Grants  Membership Newsletter Professional Development 

Mail or fax this application to:
 AJST, P.O. Box 1484, Pacifica, CA 94044    Fax: (650) 359-3089

Questions? Call: (650) 359-6911 or Email: admin@ajst.org