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Name of Applicant
   
 
 
 
Membership Status
 
Regular
 
Affiliate
 
Associate
 
Student
 
Non-Primary
 
Retired
 
 
 
Position for which you wish to be considered
   
 
 
 
Enter your Address (Street Address, City, Daytime and/or Mobile Phone)
   
 
 
 
Email Address
   
 
 
 
Years as a NYSSA memeber
   
 
 
 
Member since (year)
   
 
 
 
Indicate name(s) of other CFA Societies besides NYSSA of which you have been a member
   
 
 
 
List your NYSSA experience, including leadership positions, with the year(s) served in each position (i.e. Global Investing Committee, Chair, 2011-2013; Vice Chair, 2009-2011; Socially Responsible Investing, member, 2007-2011, etc)
   
 
 
 
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