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Student Application

___________________________________________________________________________

name

________________________________________________________________________________________________________________________

address                                                                              city                             state                                    zip code

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home e-mail address                                                                                             Telephone number

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University or College                                                                                                                  major

____________________________________________________________________  __________________________________________________

Signature                                                                                                           Date

I expect to complete my student teaching by ________________________________________

Mail Application with your $10 to AFT Mississippi 11975 M Seaway Rd, Ste B 140  Gulfport, MS 39503

For more information you may contact maftpres@aol.com or telephone 1-800-227-MAFT