TASP

     TENNESSEE ASSOCIATION OF SPECIAL PROGRAMS

                2000-2001 MEMBERSHIP APPLICATION

Last name                     First                         M.I.                 Title

Institution                                                                              Mailing Address

City                                          State            Zip                    Phone

FAX                                                                                       E-Mail

Month & Year began TRIO Employment

Type of Program:         UB                VUB               SSS                EOC             ETS

             Ron McNair                          Training Grant                     Non-TRIO

Status of Employment:               Full-time                Part-time               Non-TRIO

Institution Type:                         4 year public                        4 year private

       2 year public                        2 year private

       public school                       national agency

       community agency         other                                                  

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The TASP fiscal year begins October 1 and Ends September 30.

Membership dues:                 Individual (New Member)                   $   15                      Date Paid                              

Individual (Re-Applying)                      $   20                      Date Paid                              

Institutional                                            $ 100                       Date Paid                               

Please make all checks payable to TASP and return membership application with check(s) to:

Gayle Brown, Membership

Educational Talent Search

HC Box 633

225 Hiwassee College Drive

Madisonville, TN  37354-4001