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Get 2007-2008 Membership Application - Michigan State University

ESS CITY COUNTY 5. E-MAIL ADDRESS 6. DATE OF BIRTH 7. COLLEGE/UNIVERSITY ATTENDING 9. MEA MEMBERSHIP Code 10. NEA MEMBERSHIP 22 Code STATE ZIP CODE 8. CURRENT DATE / / 11. CURRENT PHONE & AREA CODE 12. STUDENT TEACHING STARTED/STARTS (MONTH) (YEAR) 60 13. ETHNIC GROUP AMERICAN INDIAN OR ALASKA NATIVE ASIAN BLACK OR AFRICAN AMERICAN HISPANIC OR LATINO NATIVE HAWAIIAN OR PACIFIC ISLANDER OTHER (SPECIFY).

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