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NEOSA Lakeland Student Chapter

Lakeland Community College
NEOSA Lakeland Student Chapter
Membership Interest Form

Please note: To email this form automatically you need to have an email account and follow certain other guidelines as described near the bottom of this page. Otherwise, you can print this page out and fill out the form (or vice versa), and then mail, fax, or bring it in, to the contacts at the bottom of this page. Or you could email us your answers in a regular, free-form email. We look forward to hearing from you!
Name:

Address:

City/State/Zip:

Home Phone:

Work Phone:

Email:

Program/Degree:

Expected Graduation Date:


Membership Category - I qualify for the following membership category in NEOSA Lakeland Student Chapter:

REGULAR (Voting Member) - a student in good academic standing who is enrolled in no less than one credit course at Lakeland.
ASSOCIATE (Non-Voting Member) - an individual who is interested in promoting the Information Technology field.

About Me:
I am interested in NEOSA because......(please check all that apply)
I need more information to help me make decisions about my career.
I am currently attending classes in Information Systems.
I am job hunting in the Information Technology (IT) field.
I want to network with others already working in the IT field.
I am currently working in IT and want to share my experiences.
I am looking for qualified people to hire/train for jobs with my company.
I currently teach technology classes.
I know someone who would be a great speaker or panelist.
I can offer a job shadowing or mentoring experience with my company.

*

* To email your information automatically from this form, you need to have an email account. You also need to have an email program set up, as your default email program, using your email account. The form may not work with Outlook as your email program. Your browser (Internet Explorer or Netscape) must be version 4 or higher. You may receive a warning that you are sending unencrypted email, and a warning that a program [e.g., your email program] is trying to automatically send email on your behalf, and that if this is unexpected it may be a virus. You may also have to click "send/receive" in your email program after submitting the form, to actually transmit the outgoing mail, depending on how your email program is set up.

Otherwise, you can print this page out and fill out the form (or vice versa), and then mail, fax, or bring it in, to the contacts below. Or you could email us your answers in a regular, free-form email.

Return to NEOSA Lakeland Student Chapter, c/o Student Activities, Room S-237

Mail:
NEOSA Lakeland Student Chapter
c/o Student Activities
Lakeland Community College
7700 Clocktower Drive
Kirtland, OH 44094-5198

Telephone: (440) 525-7165
Fax: (440) 525-7647, attention: NEOSA Lakeland Student Chapter

Email: neosalcc@mail.lakelandcc.edu

(Technical comments about this form may be sent to the webmaster.)

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