SkillsUSA Membership Form
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Name: |
__________________________ ______________________________ | |
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Address: |
_________________________________________________________ | |
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_________________________________________________________ | |
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Home Phone: |
______-______-________ | |
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Cell Phone: |
______-______-________ | |
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Are you in a Career/Technical Program? Yes No |
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| if Yes, Check the Program you are in? | ||
| Commercial Music | ||
| Computer Science Networking | ||
| Criminal Justice | ||
| Culinary Arts | ||
| Financial Services | ||
| Graphic Design | ||
| Nursing | ||
| Office Technology | ||
| Radiography | ||
| Respiratory | ||
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______________________________________________________________________________ |
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Signature |
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| After completing this form, sign and mail to: | Academic Affairs Office | |
| Attention: Becky Warren | ||
| 200 South 14th | ||
| Parsons, KS 67357 | ||
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Include a check or money order made out to Labette Community College SkillsUSA for the amount listed below. |
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Student Dues: $13.00 (Student's Only) Professional Dues: $19.00 (Director/Faculty/Staff Only) |
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