Prospective Member Portal
Are you interested in learning more about T.A.S.?
Name
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First Name
Last Name
E-mail
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Phone Number:
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Area Code
Phone Number
Birthday
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Month
-
Day
Year
Date
City of Residence
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State of Residence
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Alabama - AL
Alaska - AK
Arizona - AZ
Arkansas - AR
California - CA
Colorado - CO
Connecticut - CT
Delaware - DE
Florida - FL
Georgia - GA
Hawaii - HI
Idaho - ID
Illinois - IL
Indiana - IN
Iowa - IA
Kansas - KS
Kentucky - KY
Louisiana - LA
Maine - ME
Maryland - MD
Massachusetts - MA
Michigan - MI
Minnesota - MN
Mississippi - MS
Missouri - MO
Montana - MT
Nebraska - NE
Nevada - NV
New Hampshire - NH
New Jersey - NJ
New Mexico - NM
New York - NY
North Carolina - NC
North Dakota - ND
Ohio - OH
Oklahoma - OK
Oregon - OR
Pennsylvania - PA
Rhode Island - RI
South Carolina - SC
South Dakota - SD
Tennessee - TN
Texas - TX
Utah - UT
Vermont - VT
Virginia - VA
Washington - WA
West Virginia - WV
Wisconsin - WI
Wyoming - WY
Current Region of Residence
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Middle Eastern (DC, MD, NC, SC, VA)
Southern (AL, FL, GA)
Southwestern (LA, MS, TX)
Central (TN, AR)
Intra-National (Unlisted States)
Educational/ Professional Background
Undergraduate college attending or attended?
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Graduate School Attended or Attending?
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