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ASSOCIATION FOR CRIMINAL JUSTICE RESEARCH (CALIFORNIA)
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Application for Membership or Renewal July 1,2007 - June 30,2008
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Name____________________________________ |
Phone
( )______________________
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WorkTitle_________________________________ |
E-mail
___________________________ |
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Agency
___________________________________ |
Fax
( )________________________ |
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Work
Address _____________________________________________________________________ |
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City,
State, ZIP_____________________________________________________________________ |
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Mailing
Address (if different) |
Street _____________________________________________________ |
City,
State, ZIP ______________________________________________ |
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**You
may post the following personal information on one or both
of the site's two membership roster
pages including (1) public and (2) private-member
only. (circle the underlined items that are okay to list) |
Address
public site
member site only |
Phone
number
public site
member site only |
e-mail
address
public site
member site only |
**Note: If no preference is indicated the listing will default to the member site displaying "all" infornation provided since the page is password protected. "No" information will be presented on the public site since it is unprotected. |
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Please Indicate your Major
Areas of Professional Interest (List no more than three) |
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(Examples:
Juvenile Justice, Drug Abuse, Probation/Parole, Program Evaluation,
Courts, Victim Rights, Policy Analysis, Corrections, Crime Prevention) |
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Attach
check for $45 ($15 if full time student) payable to: |
Association
for Criminal Justice Research (CA) |
Fairmont
Station |
P.O. Box 2458 |
El
Cerrito, CA 94530 |
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If you prefer to be contacted by E-Mail only (no paper mail) please Check Here |
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