Pacific Northwest JET Alumni Association Membership Form
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First Name *
Last Name *
Last Name on JET (if different from above)
Street Address
If you are currently on the JET Program, please enter a US address, and mention this in the notes section below.
State *
Select from below
Ex: 98101, 98926
Phone Number
Ex: (509) 555-5555
E-mail Address
Industry/Career Field *
Career Status *
Company Name
Job Title
JET Information
Position on JET *
Departure City *
Ex: Seattle, San Francisco
Departure Year *
Year Completed JET Contract *
Years on JET *
Placement Prefecture *
Select from Below
Placement City *
Ex: Konan-cho, Kobe-shi
PNWJETAA Activites
Are you interested in assisting with JET Program interviews? *
Are you interested in assisting with JET Program Pre-Departure Training? *
Are you interested in assisting with JET Program Recruiting? *
At which university would you like to help recruit?
Are you an alumnus of this university?
Clear selection
JETAA event interests (social events, language classes, volunteer opportunities, networking). Any notes from above (Multiple prefectures or positions: please include year and location.)
Can PNWJETAA Share your Information with the Consulate-General of Japan *
The Consulate-General of Japan (CGJ) has requested that we provide them with information about JET alumni living within their jurisdiction. PNWJETAA will have no control over how the Consulate uses your information should you choose to share it with them. Please choose from one of the following options.
Thank you for your time!  Just hit "Submit" below!
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