JETAA Eastern Japan - Member Registration Page

JETAA Eastern Japan Membership Registration Form

Note: All members are required to resubmit membership information using the below form by 1st March 2008. You must have cookies turned on in your browser to use this form.

Before entering your data into this form, please carefully read our PRIVACY POLICY. Consent is a condition for membership.

Fields indicated by a red asterisk (*) are mandatory. All other fields are optional.

English / Romaji only please

PERSONAL INFORMATION

First name *

Middle initial

Last name *

Gender *

Male Female

Date of birth *

Year	Month	Day

Email address *
(This will be your User ID)

Retype email address *

Mobile phone *

7 digit post code *
(xxx - xxxx)

Prefecture *

Address *

Building / unit

JET HISTORY

JET job type *
JET prefecture *
Year started on JET *
Year ended on JET *
Nationality *

EDUCATION

University
Degree
Major
Minor

CURRENT WORK INFORMATION

Employer *
Job Title
7 digit post code (xxx - xxxx)	-
Prefecture
Address
Building
Work phone
Work fax
Work email

RESUME AND PHOTO

Resume	(DOC, PDF, RTF or TXT format only, 2MB limit)
Photo	(JPG or BMP format only, 2 MB limit)

ACCOUNT SETUP
Once you are approved for membership, you will be able to edit your profile online. Your email address and the password you enter here will allow you to login to your account. Please choose a password between 6 and 8 characters long using any combination of letters, numbers, - and _

Please enter a password to create your account *
Re-enter password *

CONSENT

1.	I have read and consent to the privacy policy *
2.	I hereby agree to be removed from the membership rolls of all other JETAA chapters (required for voting members)
3.	Do not share my personal information with trusted partners seeking to contact former JET Participants (note: members who choose this option may not register through JETAA Eastern Japan for activities sponsored by third-parties such as CLAIR/MOFA, ACCJ and FCCJ

If you are uploading large files, form may take a couple of minutes to process.

Problems registering with this form? Please contact register@jetaa.com.