Gender MaleFemale
Marital Status Not MarriedMarried
Education Level High SchoolCollegeGraduate
Name of College/School/University
Address
Current Employer(s)
Name
Relationship
Telephone
I the undersigned Mr. / Mrs. / Ms
, as of the aforementioned date, hereby agree to abide by the Association of Liberian Journalists in the Americas (ALJA) constitution; and promise to contribute morally and financially to the sustainability of the organization. I promise to refrain from all acts that are divisive and inimical to the common interest, goals, and objectives of the Association. Failure to heed this declaration, the Association has the right to institute punitive action(s) and corrective actions such as suspension, expulsion, and law suit against me.
Applicant's Signature
Date
Witness
Chairman, Membership Committee
Association of Liberian Journalist in the Americas (ALJA)
