Membership Application 
Federal Judicial Assistants Association
Membership January 1-December 31
Early Bird deadline: March 31
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Email *
First-Time member: First-year annual dues waived
Membership renewal: Annual dues $40.00
Retiree membership: $25.00 Annual dues or Life-time dues $100.00
Name *
Email *
Job Title *
Judge
Judge type
Court Name and Location 
Circuit *
Court mailing address
(NOTE: If retired provide home address)
 *
Office phone
(NOTE: If retired provide home phone)
 *
Birthday (month/date)
Date of  Hire(month/year) *
Membership *
Membership payment option *
Standing Committees
I am interested in working on the committee(s) selected
Additional committees of interest.  Type in committee
I am interested in being a Circuit Representative
Clear selection
I have reviewed my application.
I confirm that my responses are complete.

 *
Thank you for your membership.
If you have any questions please send an email to: fjaa.membership@gmail.com

A copy of your responses will be emailed to the address you provided.
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