IJEA Membership Application

Indiana Jazz Educators Association Membership Application

Membership Information
Membership Status:
Membership Type:
I am a Professional Educator and/or Performer (Registration fee = $30)
I am a Middle School, High School, or College Student (Registration fee = $15)
Personal Information
Name:
Home Address:
State:
City:
Zip:
E-mail Address:
Preferred Phone:
 
 
Work/School Information
Organization/School:
Your Title:
Address:
State:
City:
Zip:
Work Email Address:
Work Phone:
When sending E-mails, would you prefer IJEA send them to your WORK/SCHOOL or your PERSONAL E-mail address?

Other Information
In which of the following areas of jazz are you involved?
Performance
Education
Industry
Elementary School
Middle School
High School
College/University
MS/HS Student
College Student
What services and/or resources would you like IJEA to offer its members?