GCLEABJ Membership & Contact Form

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Date *

YYYY

First Name *

Last Name *

Email *

Address *

City *

State *

Zip Code *

Phone number *

DOB *

YYYY

In what capacity do you work in journalism or public relations? *

Full-Time Journalist

Part-Time Journalist

Journalism Student

Public Relations Professional

Former Journalist/Retired/Unemployed

Blogger/Multi-Media

What's your major? *

Journalism (print or broadcast)

Communications/PR

English

Other

Do you have a four-year degree? *

Yes

Current Place of Employment *

How many years have you worked in journalism? *

0-5 years

5-10 years

10-20 years

20+

Comments and/or Requests

Submit

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