Scientists, Engineers, & Technicians Leadership Association, Inc (SETLA)
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In order to become a member of SETLA, you must be a currently enrolled student majoring in Science, Engineering
or Technology, or a graduate with a degree/degrees, or actively employed in the field of Science, Engineering or
Technology.
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Your name:
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Date:
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Your address:
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City:
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Zip code:
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State:
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Work email address:
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Home email address:
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Work phone #:
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Home phone #:
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Degree/Degrees
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School attended
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Year Graduated
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Membership Application
SETLA, INC.