Leadership Jackson Alumni Association Application Leadership Jackson Alumni Association Application Name First Name Last Name Leadership Jackson Graduation Class Year * Company * Mailing Address Address Line 1 * Address Line 2 City * State * Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code * Email Address * Please provide your email address for billing and communication Phone Number * Please provide your current phone number for billing questions Sponsorship opportunities are available for the LJAA program I am interested in sponsorship opportunities for LJAA programs Do we have permission to include your contact information in the LJAA membership directory? * Please type YES or NO More Info... Submitting this form will add your name to the LJAA list. New graduates receive your first year free, all other applicants will receive an invoice shortly for the $50 membership dues. Thank you, and welcome to the LJAA!
