NASTT Student Membership Form

NASTT Student Membership Application:

Please complete the form below. Required fields are indicated with an *. Your application will be confirmed and membership information will be mailed to you.

Student Representative*:

Name*:

Name of nationally or regionally accredited educational institution/trade school or recognized apprentice program*:

Major Interest*:

Current Status (drop down menu - Undergraduate, Graduate)*:

Name of Faculty Advisor*:

Street Address*:

City*:

State/Province*:

Country*:

Zip/Postal Code*:

Phone*:

Fax:

E-Mail*:

How did you find out about NASTT?*
(please select one)

	Direct mail
	Publication
	Referred by member	Name:
	Conference
	Other	Detail:

Comments or questions: