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After Internship Form
You have one year from the end of your internship to obtain the new member packet and discount coupon.
We want to hear from you and keep in touch! Your skills as a new professional are vital to keeping MAR strong!
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Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Choose
Delaware
Maryland
New Jersey
New York
Pennsylvania
Virginia
West Virginia
Washington, DC
Zip Code
*
Your answer
Home Phone
*
Your answer
Work Phone
Your answer
Email
Your answer
School Attended
*
Your answer
Name of Internship Site
*
Your answer
Internship site is:
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AMTA Approved National Roster Internship Site
University Affiliated Internship Site
Dates of Internship
*
Your answer
I am a current student member of AMTA
*
Yes
No
I am sending my membership dues to AMTA
Only answer if you chose 'no' in previous question
Yes
No
Clear selection
I have sent my professional dues or changed my status to a Professional member
*
Yes
No
I do not plan to join MAR or AMTA this year
Yes
No
Clear selection
My internship director has sent the VP of Membership an email to confirm the completion of my internship
*
Yes
No
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