Ashland Alliance Young Professionals Association

Membership Application

Application Information
Name: E-mail: Phone Number:
Home address: City: State: ZIP:
Preferred Mailing Address: Home Work
Employment Information
Employer: Position:
Work address: City: State: ZIP:
Work Phone Number:
Education Background
Highest Level of Education: High School 2-year Degree 4-year Degree
                                      Masters Degree Doctorate Post Doctorate
School:
School address: City: State: ZIP:
Why do you want to join AAYPA?

Who referred you to AAYPA?

Membership dues are $40.00 annually.