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LATT Membership Application Form
Mailing Address: P.O. Box 1275, Port-of-Spain, Trinidad and Tobago
Email:
latt45@gmail.com
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Title
*
Please select your preferred title. E.g. Mr., Miss, Ms., Mrs., Dr., Prof.
Choose
Mr
Miss
Ms
Mrs
Dr
Prof
First Name
*
Please enter your first name.
Your answer
Middle Name Initial(s)
Please enter your middle name initial(s).
Your answer
Last Name
*
Please enter your last name.
Your answer
Sex
*
Please check the box next to your sex.
Female
Male
Required
Type of Contact Information Provided
*
Please check the box next to the type of contact information that you will be providing.
Home
Work
Required
Official Title
*
If you are providing your work contact information, please enter your official title. E.g. Archivist, cataloguer, information professional, knowledge manager, librarian, library assistant etc.
Your answer
Organisation
*
If you are providing your work contact information, please enter the name of the organisation that you work for.
Your answer
Street Number and Address:
*
Please enter street number and address.
Your answer
Town / City / Zip Code (if any)
*
Please enter town / City / Zip Code (if any)
Your answer
Country
*
Please enter country
Your answer
Telephone Number (Land Line)
E.g. 000-000-0000
Your answer
Mobile Number
*
E.g. 000-000-0000
Your answer
Email Address
*
Your answer
Website
Your answer
Profession/Occupation
*
Please check the box next to your current profession / occupation.
Library/Information/Archival Professional
Library/Information/Archival Para-professional
Student
Retired Library / Archive / Information Professional
Retired Library / Archive / Information Para-professional
Other:
Required
Additional Details
E.g. Name and contact information for the academic programme and educational institution in which you are currently enrolled or your current place of employment (if not previously provided). Please specify.
Your answer
Type of Degree/Qualification
*
Please check the box next to your highest academic qualification.
High School Diploma
Certificate
Associate's Degree
Bachelor's Degree
Postgraduate Diploma
Master's Degree
Doctorate
Other:
Required
Areas of Specialisation / Other Areas of Interest
Please enter in the box below, any areas of specialization or other areas of interest that you might have. Separate each entry with a semi-colon.
Your answer
Membership Type Requested
*
Please select the type of membership for which you are applying.
Choose
Personal - TT $200.00
Institutional - TT $400.00
Associate - TT $100.00
Student - TT $50.00
Corresponding - U.S. $50.00
Retired Personal - TT $100.00
Retired Associate - TT $50.00
Standing Committees
Advocacy
Constitution & Legal
Editorial
Education & Research
Finance & Management
Membership & Public Relations
Date
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