* Last Name: * First Name: Middle Initial:
Preferred Mailing Address (Number/Street):
Address (City/State/Zip):
Telephone Number: WSU Access Id:
* Email Address:
Website: Weblog:
Are you currently working as a media specialist? yes
| no |
School District: School Name:
Planned Year of Graduation:
At what level would you like to work as a media specialist?
What events/opportunities can the MAME-WSU Student Chapter provide to enhance
your experience in the LIS Program?