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WSU Student Chapter Membership Form

* 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?

Are you a member of MAME?yes no

What other professional organizations do you belong to?

What events/opportunities can the MAME-WSU Student Chapter provide to enhance your experience in the LIS Program?


You can also return a paper version to the third floor MAME mailbox.

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