Clone of Membership Form - Membership Only

Individual memberships with the Michigan Juvenile Detention Association (MJDA) are available for professionals working in the field of juvenile justice.
MJDA Membership Application

Please complete and submit the application and then either mail a check or submit your payment using the Paypal button below.
Your Name:*

First NameLast Name
E-mail:*
Facility/Agency Name:*
What is your job title at your facility/agency?*

Director or EquivalentAssistant Director or EquivalentSecretary or EquivalentSupervisor or EquivalentYouth SpecialistOther
Renewal Date Calculation
Should be Empty: