* The membership year is from January 1, 2000 through December 31, 2000.

Please Check One:

 Professional member ($30.00/year)
 Student Member ($20.00/year)

Name 

____________________________________________________________________ 


Employer

____________________________________________________________________


Address 

____________________________________________________________________


City/State/Zip/Phone

____________________________________________________________________


Home Address

____________________________________________________________________


City/State/Zip/Phone 

____________________________________________________________________


email Address/FAX number

____________________________________________________________________


School/Academic Degree/Major or emphasis

____________________________________________________________________

Years in Field ___________

Please place a check where you would be interested in any of the following committee's. You may check more than one.

______ Annual Meeting
______ Budget
______ Career Service Bulletin
______ Ethics
______ Licensure
______ Membership
______ Newsletter

Please make check or money order payable to Matt Wattles (President)

Mail to:

IDAEP Membership
c/o Matt Wattles
8725 W. Wall Dr.
Boise, ID 83709